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Thank you for your interest in Covenant Academy!

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

* Indicates a required field.

  • Parent/Guardian Information
  • *First Parent/Guardian
  • Salutation *
    First Name *
    Middle Name
    Last Name *
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent/Guardian
  • Salutation
    First Name
    Middle Name
    Last Name
  • Email Address
  • Cell Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Covenant Academy? *
    Details:
  • Home Phone *
    (Ex: 999-999-9999)
  • The factors most influencing us to seek out information about Covenant Academy are: *
    Location Dissatisfaction wtih current school
    Desire to attend private school Academic reputation
    Christian Philosophy Recommendation of CA families
    Classical teaching Other
  • If you chose "Other," please explain.
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student? Yes No
  •  
  • Parent/Guardian Notes
  •  
Type in the text that you see above (case sensitive):
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