2012-2013 Application

Thank you for your interest in applying for the 2012-2013 school year at Chapel Hill Academy. We are excited to begin our 5th year and will serve grades Pre-K through 5 for 2012-2013.

To apply, fill out all information below and hit the 'submit' button. Please review your information for accuracy before submitting. There are a limited number of spaces available in each grade and all applications are accepted based on the capacity for each grade. Please do not submit an application more than once - duplicate entries will be deleted.

*** PRE-K APPLICANTS MUST MEET SPECIFIC ELIGIBILITY REQUIREMENTS AS OUTLINED IN THE APPLICATION BELOW. PROOF OF ELIGIBILITY STATUS WILL BE REQUIRED AT TIME OF ENROLLMENT.

Parent's Last Name:   Parent's First Name:    
*   *    
         
Home Address:   City:   Zip:
*   *   *
       
       
  State:   Email:
  *   *
         
Home Phone:   Work Phone:   Mobile Phone:
*     A Contact phone is required.    

Number Of Children To Apply:

Child 1:

       
         
Child's Last Name:   Child's First Name:   Child's Middle Name:
*   *  
         
Child's Date of Birth:   Grade Applying For:   Current School District:
*   *   *
         


For Pre-K enrollments only:
To be eligible for enrollment in a Pre-K class, a child must be 4 years of age on September 1 of the current school year and must: (PLEASE SELECT ONE. Documentation of eligibility will be verified prior to enrollment.)