Entering Grade Level* Please select K2/K3 3-day Half Day ( Mon, Wed, Fri 8:00-12:00 PM) K2/K3 3-day Full Day ( Mon, Wed, Fri 8:00-2:15 PM) K2 or K3 5-day Half Day ( 8:00-12:00 PM) K2 or K3 5-day Full Day ( 8:00-2:15 PM) K4 VPK ONLY Morning ( 8:15-11:15 AM) K4 VPK ONLY Afternoon ( 12:30-3:30 PM) K4 VPK Full Day ( 8:00-2:15 PM) K5 - Kindergarten ( 8:00-2:15 PM) 1st Grade ( 8:00-3:15 PM) 2nd Grade ( 8:00-3:15 PM) 3rd Grade ( 8:00-3:15 PM) 4th Grade ( 8:00-3:15 PM) 5th Grade ( 8:00-3:15 PM)
School Year* Current 2019/2020 School Year
T-Shirt Size* Please select Youth XS Youth Small Youth Medium Youth Large Adult Small
Race* Please select White African American American Indian Pacific Islander Asian Other
Ethnicity* Please select African American Asian Caucasian Hispanic Other
State* Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Country* Please select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Yemen Zambia Zimbabwe
Student Lives With* Please select Both Parents Mother Only Father Only Extended Family Legal Guardian
Have you been awarded or will be awarded a Florida School Choice Scholarship?* Please select Yes No
Emergency Contacts Parents will be contacted in the case of an emergency. It is the responsibility of the parents and/or guardians to keep the emergency contact information current and accurate. Changes to emergency contacts are done through the Headmaster Online or in writing at the CFA Office.
Pickup List Changes to the pickup list are done through the Headmaster Online or in writing at the CFA Office.
List All Known Allergies (Type None if no allergies exist)**
Has your child's Pediatrician or Allergist prescribed an EPI-PEN for your child?* If your child had been prescribed an EPI-PEN, CF Academy requires two EPI-PENS for each student (one with the teacher and one in the office). CF Academy Allergy Action Plan and Authorization for Medication forms must be completed and signed by your child's Pediatrician/Allergist as well as the parent/guardian.
Social and Physical Growth
Has your child received and/or been recommended for counseling?*
Has your child received and/or been recommended for psychological/educational testing?*
Has your child been diagnosed with any type of learning disability, Autism, ADHD, and/or other medical conditions?*
What problem does your child have that concerns you the most?*
What do you feel are his/her special abilities or capabilities?*
Has your child been disciplined in school? If yes, what disciplinary measures were used?*
Understanding Your Child
Why do you want your child to attend CF Academy?*
In what ways do you expect our program to help your child?*
List chronologically all schools attended, including preschool and kindergarten:
Placement Policy, Cooperation, and Technology
Statement of Cooperation*
Acceptable Use of Technology*
I have read the Christ Fellowship Academy Statement of Faith, Philosophy of Education and Aspirations. I agree to have my child taught by these convictions. I have read the Parent-Student Handbook, Discipline Policies, Placement Policy, Dress Code Policies and Financial Policy. I agree with these policies, and expect my child to abide by them. If necessary, I agree that my child should and will be disciplined by CF Academy for non-conformance. I permit CF Academy Administration to discipline and counsel my child as necessary. I grant my permission for my child to attend and participate in school activities at CF Academy and to local points of interest or off-campus sites. I will cooperate with CF Academy to my fullest capability and support its Mission, Ministry, Goals, Programs, Administration, Faculty and Staff. I also understand that my child will not be placed in a classroom until all forms have been completed and submitted to the Admissions Department and all financial obligations are met.
Required Signature
Certification of Application*
Student Fees Upon receiving an offer of admission, please submit the following within two weeks of acceptance: Registration and School Improvement Fees. The registration process is incomplete until all fees have been paid. The initial entrance fee payments, registration fee and school improvement fee, will need to be paid via cash or check only in our academy office. Once enrolled, additional payments including tuition may be paid online with your HeadMaster school account. Please access the appropriate tuition and fees schedule for more information:
Tuition and Fees Details*
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