Inquiry Form

Thank you for your interest in Agape Christian Academy. We understand that selecting the right childcare or school program for your child is an extremely important decision. If you would like more information about our programs please complete the Inquiry Form. We are delighted to help and answer any questions you may have. 

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Email *
Do you agree to our Mission Statement, Core Values and Statement of Faith? *
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Parent/Guardian's First & Last Name *
Relationship to Student(s) *
Phone *
Address *
Enrolling Year *

For the school year you are inquiring about, what grade(s) are you interested in. Please Mark one grade for each child. *
Required
Please list Student(s)/ Name, Birthdate and 
Gender (Male or Female)
"Example" Jane Doe 1-28-16 Female
 *
Name of Current School or Center *
Is the applicant currently on a 504 plan?
Clear selection
Has the applicant ever been, or currently in an IEP (Individualized Educational Plan).
Clear selection
How did you hear about us? *
Required
If you said Yes to Childcare what age and hours are you interest in?
Clear selection
Please list any other information that you would like us to know about your student(s) and/or family. 


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