Forms

To print and complete the Pre-Registration form, click on the pop-out arrow in the top right corner.  Please return the completed form to P.O. Box 395, Simpsonville, KY  40067.

To pre-register online, complete the information below and click Submit Pre-Registration Form at the bottom of the form.

Pre-Registration Form

Father's Full Name *

Mother's Full Name *

Legal Guardian's name and relationship to student

Home Address *

City *

State *

Zip Code *

Home Phone Number

Cell Phone Number *

Cell Phone Number *

Email Address *

Email Address *

Religious Affiliation *

Parish or Church *

Religious Affiliation *

Parish or Church *

Religious Affiliation *

Parish or Church *

Student #1 Name and Information *

Age *

Grade Entering *

Current School *

Sacraments Received * Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Student #2 Name and Information

Age *

Grade Entering

Current School

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Student #3 Name and Information

Age *

Grade Entering

Current School

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Student #4 Name and Information

Age *

Grade Entering

Current School

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Sacraments Received Baptism First Communion Confirmation

Does child(ren) seeking enrollment have a learning disability? *

Yes

No

If yes, please explain fully

Does child(ren) seeking enrollment have any behavioral problems (e.g. consistent disrespect, violent behavior, hyperactivity, Tourettes Syndrome, requires medication for behavior, etc.)? *

Yes

No

If yes, please explain fully

Does child(ren) seeking enrollment have a medical condition which requires special attention at school (e.g. taking daily medications, asthma, diabetes, etc.)? *

Yes

No

If yes, please explain fully

How did you learn about Corpus Christi Classical Academy? *

Please describe briefly the reason(s) for your interest in Corpus Christi Classical Academy *

To print and complete the New Student Application form, click on the pop-out arrow in the top right corner.  Please return the completed form with your check for $150 per student application to Corpus Christi Classical Academy, P.O. Box 395, Simpsonville, KY  40067.

To submit the application online, complete the information below and click Submit New Student Application at the bottom of the form. Then, mail your check for $150 per student application to: Corpus Christi Classical Academy, P.O. Box 395, Simpsonville, KY  40067.

Student's Name *

Applying for Grade(s)

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Applying for Grade(s):

Pre-K 3 day

Pre-K 5 day

Kindergarten Half Day

Kindergarten Full Day

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Student Information

Address *

City *

State *

Nickname or Name Child Prefers

Date of Birth *

Zip Code *

Home Phone Number *

Social Security # *

Gender: Female Male

Baptism (Date):

Church

City/St

First Reconciliation

Church

City/St

First Communion

Church

City/St

Confirmation

Church

City/St

Name of Last School Attended

Street Address

City

State

Zip Code

Family Information

Father's Name: *

Mother's Name *

Address (if different from student)

Address (if different from student)

Occupation/Title

Occupation/Title

Business Name

Business Name

Business Address

Business Address

Phone: Home

Phone: Home

Work Phone:

Work Phone

Cell Phone

Cell Phone

Religion *

Religion *

E-Mail Address

E-Mail Address

Name of Sibling

Date of Birth

School Attending

Name of Sibling

Date of Birth

School Attending

Name of Sibling

Date of Birth

School Attending

Educational Needs

Has your child been tested for any learning disability? * Yes No

If yes, please give a detailed explanation of the results and recommendations

Special Education Placement? * Yes No

If yes, please explain

Any visual or hearing impairments? * Yes No

If yes, please explain

Other physical disabilities? * Yes No

If yes, please explain

Medications / Allergies

Please list all allergies and medications

Transportation

My student will be transported to and from school by one of the following people

Name #1 *

Relationship to Student *

Name #2 *

Relationship to Student *

Name #3 *

Relationship to Student *

Emergency Information

If in the event we are unable to contact either the parents or guardian, please list another family member we may call in case of an emergency. Also, list your preferred hospital in case of an emergency.

Name *

Relationship to student *

Home Phone *

Work Phone *

Cell Phone *

Physician Name *

Office Phone *

Dentist Name *

Office Phone *

Preferred Hospital *

Hospital Address *

Office Phone *

Single Line Text

Parent or Guardian Signature *

Date *

Paragraph Text This application is not binding on the applicant or upon the school. After a conference between parents and staff, and if room is available, parents will be notified of acceptance.

Tuition Payments

Paragraph Text The tuition payments for the month is due on the first of the month. A late charge of $10 will be assessed for payments after the 10th day of the month that payment is due. It is agreed: a. That the registration fee is non-refundable. b. That if any checks are returned for any reason, my account will be assessed $35.00. c. Further, that registration for the next year will not be accepted and report cards not issued unless all tuition and fees are paid for the current year. I understand that in signing this Agreement, I am agreeing to accept the policies, rules, and regulation of Corpus Christi Classical Academy. I agree that all the information I have provided is accurate and complete. I understand that inaccurate or incomplete information may be grounds for immediate removal of my child from this school.

Single Line Text *

Date *

Parent or Guardian Signature

Date

Checkboxes

Completed Application Form

Copy of Birth Certificate

Copy of Baptismal Certificate, First Communion, and Confirmation (if any are applicable)

Copies of any transcripts, standardized tests, and records from previous school

Immunizations Records

Single Line Text