Homeschool AthleticsCCA Homeschool Athletic Application"*" indicates required fieldsCCA Homeschool Athletic ApplicationStudent #1 Name First Last Student #1 Birthdate MM slash DD slash YYYY Student #1 GradeStudent #1 Home ChurchStudent #1 Church Attendance Regular Infrequent No AttendanceStudent #1 lives with:FatherMotherBothOtherStudent #2 Name First Last Student #2 Birthdate MM slash DD slash YYYY Student #2 GradeStudent #2 Home ChurchStudent #2 Church Attendance Regular Infrequent No AttendanceStudent #2 lives with:FatherMotherBothOtherStudent #3 Name First Last Student #3 Birthdate MM slash DD slash YYYY Student #3 GradeStudent #3 Home ChurchStudent #3 Church Attendance Regular Infrequent No AttendanceStudent #3 lives with:FatherMotherBothOtherStudent #4 Name First Last Student #4 Birthdate MM slash DD slash YYYY Student #4 GradeStudent #4 Home ChurchStudent #4 Church Attendance Regular Infrequent No AttendanceStudent #4 lives with:FatherMotherBothOtherPlease READ the Mission Statement below:Homeschool Extension Mission- PURPOSE : To provide a service/s within a Christian environment for students who are homeschooled and are required by state mandate, or who desire to participate in academic testing (standardized, PLAN, PSAT), fine arts and athletic opportunities at CCA. REQUIREMENTS 1. Parents are to be in agreement with the mission/purpose statement of CCA. 2. Among the goals parents have established for their children are academic excellence and development of Godly character evidenced by the quality of home instruction and the attitude/behavior of their children. 3. Must have reported your homeschool status with the local school district's superintendent. 4. The academic standard for participation in athletics must be maintained as explained in the Parent Student Handbook. 5. In attendance at CCA and/or its activities, the student must be in compliance with the dress code as explained in the Parent Handbook. 6. In the event of inappropriate behavior/attitude, the parents agree to work with and support the administration in disciplinary measures that may be necessary. FEES To participate in a sport at CCA there is a fee of $150.00 per sport. STATEMENT OF NONDISCRIMINATORY POLICY Crawford Christian Academy admits students of race, color, ethnic and national origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, ethnic or national origin in the administration of its educational policies, admissions policies, scholarship and loan programs, athletic and other school administered programs.Family InformationFather's Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Father's Cell PhoneFather's Email Mother's Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mother's Cell PhoneMother's Email Parent Responsibility Statement, please check each statement:1. I will pray earnestly for Crawford Christian Academy. I understand that school policy requires that our family must attend a Bible-believing church. Weekly worship, active fellowship and church membership are expected.* I (We) agree2. I have read and agree with the Homeschool Extension Ministry Statement of the school (above)* I (We) agree3. I will support the athletic policies and procedures of CCA as they are stated in the Student/Parent Handbook (available on the website and at CCA office)* I (We) agree4. I have read, support, and signed the CCA Statement of Faith and Biblical-Morality Policy Statement. (available online or at CCA office)* I (We) agree5. If I become dissatisfied with the school in any respect, I will seek to resolve the matter with the person or persons involved rather than begin to spread criticism or hold a negative attitude in my heart.* I (We) agreeFather's signature-by typing your name below you agree to the Parent Responsibility Statement*Date MM slash DD slash YYYY Mother's signature-by typing your name below you agree to the Parent Responsibility Statement*Date MM slash DD slash YYYY Student #1 signature-by typing your name below you agree to the Parent Responsibility Statement*Date MM slash DD slash YYYY Student #2 signature-by typing your name below you agree to the Parent Responsibility StatementDate MM slash DD slash YYYY Student #3 signature-by typing your name below you agree to the Parent Responsibility StatementDate MM slash DD slash YYYY Student #4 signature-by typing your name below you agree to the Parent Responsibility StatementDate MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged. 61601
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