2022-2023 Summit Academy Application Packet
Please fill out this form out- one per student. After you submit this one, go back to the email link and complete for additional student(s). Our Summit Academy Staff will review and notify you if your family is admitted. Your enrollment email will include a link to pay the $150 registration fee/ per student.
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Student's Name (one application per student) *
Student's Birthday *
Student's Grade in Fall 2022
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We would like to enroll in:
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Student Resides with *
Gender *
Previous School Attended *
Previous School Email Address
Parent 1 Name *
Parent 1 Cell phone *
Parent 1  Address *
Parent 1 Email Address *
Parent 2 Name *
Parent 2 Cell Phone *
Parent 2 Address *
Parent 2 Email *
Please provide a short testimony explaining your personal relationship with Jesus Christ and how you integrate your faith into your family life. *
 Name of the Church that you attend                               *
Pastor's Name                                                                         *
Denomination                                                                         *
Length of time you have attended *
List any area(s) of ministry in which you are involved. *
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