Student's First Name
Student's Middle Name
Student's Last Name
Student's home telephone number.
Please enter your email address to have a confirmation email sent to you.
The names and relations of who the student lives with.
Student's Date of Birth
Student's current age.
Please select school year entering.
Grade the student will be entering.
PLEASE NOTE: Selection of AM or PM on your application does not guarantee your placement in that session. To guarantee AM or PM session please utilize the "Pick a Teacher" Process.
This cost includes a 3.75% processing fee.
Would you like your student to attend the morning (AM) or afternoon (PM) session?
Please indicate whether this student has attended CLA previously.
Does this student have any siblings who attend CLA?
Please give names and grade levels of student's siblings attending CLA
Please enter the name of the last school this student attended.
Please enter the name of the church this student attends.
Please indicate whether this student has any health issues or medications that must be managed.
Please explain detailed health information and comments.
Please indicate whether this student receives or requires any special education services..
Please explain detailed special education needs for this student.
Please indicate whether you have ever refused any special education services for this student.
Please explain detailed special education needs refused for this student.