Summer School - Faith Christian Academy of Goldsboro, North Carolina

Complete this registration form only upon receipt of specific instruction. Only those who have been instructed need to complete this registration.

Complete one form per student.

Summer School Registration

Does your student currently attend Faith Christian Academy?

Yes

Is your student in elementary school, middle school, or high school?

Elementary School

Middle School

High School

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Parent/Guardian Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent/Guardian Phone(Required)

Parent/Guardian Email(Required)

Enter Email Confirm Email

Relationship To Student(Required)

Student Information

Student Name(Required)

First Middle Last

Student Address (If Different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Student Email(Required)

Enter Email Confirm Email

Student Grade(Required)

Student Testimony(Required)

To be completed by the student. Provide a brief description of your personal relationship with God. Was there a specific moment, camp, or service where the Gospel finally “clicked” for you? Describe that moment and what changed in your heart. If you grew up in a Christian home and don’t remember a moment, how has your faith shifted from being “your parents’ faith” to being your own? If you had to explain who Jesus is and why He matters to a friend who has never heard of Him, what would you say?

In what school is this student currently enrolled?(Required)

Is this student diagnosed with any medical conditions?(Required)

Yes

Medical Condition(s)(Required)

Provide a detailed explanation of all medical conditions related to this student. Include a list of all prescribed medications and side effects, if applicable.

Course Information

How many semester courses does this student need to take?(Required)

A maximum of 5 semester courses may be taken.

Summer School Information

10 Hours Instructional Time(Required)

Price:

Elementary students are required to complete 10 hours of instructional time.

Payment Information

The total shown is based on your selections and includes a card processing fee. Please confirm this amount is correct before proceeding with your payment. Be sure to enter all required information. Once you have confirmed everything is correct, submit the form!

Card Processing Fee(Required)

Price: $0.00

Total

Credit Card(Required)

Cardholder Name

Card Details