Admissions

Application for Admission

We would love for your precious child and your family to be a part of our school community. For admission consideration, please fill out the following form and upon completion you will receive a confirmation email with a link to pay your $125 application fee online. We will be in contact with you to schedule a tour upon the completion of your child’s application. If you have any questions, please feel free to contact us.

* Indicated fields are required to submit application

Child's Name:

First Name *

Last Name *

Middle Name *

Preferred Name

Child's Gender *

Child's Date of Birth (mm/dd/yyyy) *

Date of Application (mm/dd/yyyy) *

Interested in School Year(s): *


Class(es) for which child is applying (please check as many as you are interested in to be placed on multiple wait lists): *







Parents' Names:

Mom's First Name *

Mom's Last Name *

Dad's First Name *

Dad's Last Name *

Home Address:

Street *

City *

State *

ZIP Code *

Primary Telephone Number *

Primary E-mail Address *

Additional E-mail Address *

Father's Occupation

Father's Work Phone

Mother's Occupation

Mother's Work Phone

In what way, if any, has a member of the child's family been previously associated with Casner Christian Academy?

How did you learn about Casner? *

Please give your reasons for wanting your child to attend this school *

Religious preference *

List any other children in the family:

Name

Gender

Birth Date

Current School

Name

Gender

Birth Date

Current School

Name

Gender

Birth Date

Current School

Name

Gender

Birth Date

Current School

Early Childhood

Please provide the following information about the child's previous schooling, if any:

School Name

Location

Days Per Week

Dates Attended

School Name

Location

Days Per Week

Dates Attended

School Name

Location

Days Per Week

Dates Attended

Describe any medical conditions that have affected or may affect your child's participation in school activities

Additional Contacts

Optionally provide any additional contacts who could reach you in the event we cannot. This is particularly helpful during the summer vacation months and we have most of our activity off of the wait list requiring timely contact.

I submit this application on behalf of my child named above (entering your name below will serve as an electronic signature)

Signature of Parent/Guardian *

Date *