Admissions

Student Information

Academy Location Applying For:

First Name of Student

Last Name of Student

Gender

Date of Birth

Current Grade

Ethnicity

Is the family a member of a local church?

*If you have answered "YES" in the above question, please indicate here what church do you regularly attend.

Country

Address

City

State

Zip Code

Phone

Former/Current School Information

Enrollment Type

Additional Student Information

Address of Former School

Address Line 1

Address Line 2

City

State

Zip Code

Was your child receiving special education based on an IEP?

if yes, what type of disability has your child been diagnosed?

Primary Doctor Physician's Name

Address of Primary Physician

Address Line 1

City

State

Zip Code

Phone of Primary Physician

Is student's immunization record up to date?

Parent Information

Mother's Full Name

Mother's Primary Contact Number

Mother's Email

Father's Full Name

Father's Primary Contact Number

Father's Email

Higher Education Completed

Employment Information of Mother

Name of Company or Organization

Phone Number of Company or Organization

Address of Company or Organization

Address Line 1

Address Line 2

City

State

Zip Code

Employment Information of Father

Name of Company or Organization

Phone Number of Company or Organization

Address of Company or Organization

Address Line 1

Address Line 2

City

State

Zip Code

Photo/Video Release Permission

I give my consent for Free to Worship Academy to use pictures/videos of my child

Now Enrolling for 2025-2026

Student Information

Additional Student Information

Parent Information

Employment Information of Mother

Employment Information of Father

Photo/Video Release Permission

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