Student Re-Enrollment

Do you have an Arizona Empowerment Scholarship Account (ESA)?(Required)

Yes

Choose your payment plan(Required)

What type of billing do you prefer?(Required)

What email address do you want to recieve your bill?(Required)

Student Information

Student Name(Required)

First Last

Grade entering(Required)

Has any of the information below changed?(Required)

Yes

If the information below this field has changed, please select "Yes".

Address

Street Address City State ZIP Code

Student Cell Phone

Student Church Attended

City where student attends church

Is the student a member of the church?

Is the student covered under major medical insurance?

Name of Insurance Company

Parent / Guardian Information

Parent / Guardian Name

First Last

Parent or Guardian Phone

Marital Status

If parents are separated or divorced, who has legal custody of the child?

Parent / Guardian Email(Required)

STATEMENT OF AGREEMENT: Please sign the following statement after reading the Parent-Student Handbook.

Arrowhead Christian Academy is a ministry of Northwest Valley Baptist Church and exists to provide a Biblically-based, academically excellent education. The primary responsibility of education, discipleship, and discipline of children belongs to the parents, and the school is an extension of the home working with the parents to reach these common goals. It is important to understand that the school setting is different from the home due to the number of people. Control is conducive to good teaching and thus guidelines have been established in the Parent-Student Handbook for the good of the whole. The best prevention for misunderstandings is to read and fully understand the Parent-Student Handbook. If you have questions, please contact the teacher or administrator. We realize that rarely is the entire constituency of an organization in total harmony with all of the rules and policies of that organization. What we ask is that you, as parents, agree to the following: I have completely read the Parent-Student Handbook and I agree to instruct my child to abide by the rules and to cooperate with school personnel while enrolled in Arrowhead Christian Academy. If I do disagree, I will not voice it to my child, other students, or parents but will go to the teacher or administrator about my concern. I also understand that the acceptance or dismissal of a student for any reason is at the discretion of the administration. We give the school permission to use a photograph that contains an image of our child in its publications, yearbook or website; or we will contact the school if we do NOT grant permission. If you as a parent do not want an image of your child posted on the school’s website, for example, simply contact the school and your child will be placed on a “no website photo list”.

Parent / Guardian Signature(Required)

Hidden

Date