CHARLES CHURN CHRISTIAN ACADEMY SCHOOL APPLICATION

113 Osborn Street. Brooklyn, N.Y. 11212 ( bet: Belmont & Pitkin Avenues. )

Phone: (718) 919-6887
Email:
charleschurn@aol.com

Fax: (347) 221-0773
Web address:
charleschurnchristianacademy.org

Dr. Charles H. Churn Jr. Founder/Organizer

Dr. Linda Hunt/Principal

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Registration Fee: $195.00 NON REFUNDABLE (Summer Only).

Academic Year Registration Fee: ($395.00) Pre-K-2 Tuition $395.00 monthly. Grades 3-8, $295.00 per month. Grades 9-12, $265.00 per month.
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Thank you for joining us!

To get started, fill out this application and submit it.

Please keep in mind, that this application must be completed before submitting!

Once again, we would like to welcome your child (children) to

The Charles Churn Christian Academy
Full name.
Full name.
Full name.
Date of Entry

a.) I give Charles Churn Christian Academy permission to seek medical help for my child in the event of an emergency/accident.

b.) I give my child permission to attend the trips planned as outlined in the trip schedule.
c.) I give my child permission to be photographed for use in advertisements with the Charles Churn Christian Academy.
d.) I agree to pay registration fee in full and supply this school (Charles Churn Christian Academy) with all requested documents for registration.
e.) I agree to pay tuition fees in full and on time.
f.) I agree to purchase the complete designated uniform and that my child will wear it daily.
PLEASE NOTE: By clicking the submit button below, you indicate your agreement with the terms and conditions as outlined in this application!
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