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Request Information

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone *

  • As a private Christian school, Heritage Christian Academy will make all enrollment decisions using a variety of information that you provide. This will include information on the inquiry form, application, during the face-to-face interview, and any other information we receive from you. HCA reserves the right to deny enrollment if the provided information does not align with our Statement of Faith, Statement on Marriage, Gender and Sexuality or other core values and beliefs held by HCA.

    I understand and am in agreement with Heritage Christian Academy's Statement of Faith and the Statement on Marriage,Gender & Sexuality.

    Please type your name below.
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Interests
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •