Application Form

	If you are committed and ready to enroll your student with us, please complete this application.
	Only a parent, legal guardian, or student 18 years of age or older should submit this form. The more information you include, the faster we can get you started. If you have questions you want answered before commiting, please call us at 800-682-7396 or visit: https://ignitechristianacademy.com.

Complete this form separately for each student.

Student Information

First Name:		Last Name:
Preferred Name:		Middle Name:	Don't have it
Gender:		Date of Birth:
Student Email:		Phone:
Mobile:

For students entering 10-12th grade, you must upload a previous school transcript.

Academic Information

Grade Level Entering:		Previous School 1:
Previous School 2:		Previous School 3:
Previous School Transcript:		IEP:

Enter the billing address associated with your choice of payment for tuition.

Billing Address

Street:		Apartment:
City:		State:
Country:		ZIP:

Adding a second parent/guardian is optional, but only those listed can be in contact with us about the student.

Parent or Legal Guardian Information

Parent or Guardian 1		Parent or Guardian 2
Relationship:		Relationship:
First Name:		First Name:
Last Name:		Last Name:
Email:		Email:
Phone:		Phone:

Confirmation

	I certify that I am the student and am at least 18 years of age, or that I am the parent/legal guardian with authority to enroll this student.
	I hereby consent to receiving school-related information through text messages for myself (or my student, if I am the guardian). I retain the right to opt out of receiving text messages at any time by visiting the Edit Account page. These messages may include essential updates on academic progress, events, and other relevant school matters. Opting out will not impact the student's enrollment status or access to educational services. Message and data rates may apply.
Additional Comments: