sTUDENT ADMISSIONS APPLICATION

The Christian Village Academy

www.mycva.net
2026- 2027 sTUDENT ADMISSIONS APPLICATION
Parent/ Guardian Name

First NameLast Name
Parent/ Guardian E-Mail
example@example.com
Parent/ Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/ Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- Name
  
  First NameMiddle NameLast Name
- Birth Date
  
  MonthDayYear
- Grade Level
  for Incoming A.Y. '12-'13
- Previous School Name
- Previous School Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Emergency Contact
  
  First NameLast Name
- Relationship
  ex. Father, Mother, etc.
- Phone Number Of Person To Contact In Case Of Emergency
  Please enter a valid phone number.Format: (000) 000-0000.
- Please select the your enrollment type (pick only one)
- Please verify that you are human
- Should be Empty: