Online Form
Current or New Family?
Date  
Thank you for signing your children up for our Champion Preparatory Academy on-campus Day School Wait List. Our admissions coordinator will contact you to answer any questions you may have, and to provide more in-depth program information.
Family Last Name:
Father/Mother Name:
Address:
Phone:
Email:
Under Program Interest: Please enter the program of interest:
1. Day School-Monday only (1 day)
2. Day School T-W-Th
3. Day School M-Th
4. Day School M-F
5. STAR Program M-F
6. Independent Study Program (T-W-Th)(5th-12 grade)
7. Independent Study Program (M-F) (5th-12th)
8. Project Based Learning Center (PBLC) 4th-7th grade
Scholarship: McKay, Step Up, PLSA or N/A
Student 1: First & Last Name
Student 1: Current Grade Level
Student 1: Program Interest (see above)
Student 1: Wait list-Current year or 2019-2020
Student 2: First & Last Name
Student 2: Current Grade Level
Student 2: Program Interest (see above)
Student 2: Wait List-Current year or 2019-2020
Student 3: First & Last Name/Current Grade
Student 3: Current Grade Level
Student 3: Program Interest (see above)
Student 3: Wait List-Current year or 2019-2020
Comments: