PARENT (s) NAME(S): ____________________________________________________________________ Maranatha Christian Academy “Distinctively Christian” PARENT INFORMATION FOR STUDENT APPLICATION 2010-2011 (Complete only one Parent Information form if multiple children are applying) P.O. Box 877 (Mailing) 5135 McEver Road (Physical) Oakwood, Georiga 30566 Telephone: 770-536-6334 Fax: 770-531-9625 Website: www.MCAGeorgia.com A Ministry of McEver Road Baptist Church PARENT INFORMATION (Where Student Resides) JOINT OR NON-CUSTODIAL PARENT INFORMATION Parent Name:_____________________________________________ Relationship to Student: _________________________________ Address: _______________________________________________________________________________________________________ Employer: __________________________________ Occupation: ____________________________ Work Ph: ___________________ Cell Phone: _________________________________ Email Address: ______________________________________________________ Parent Name:_____________________________________________ Relationship to Student __________________________________ Address: ________________________________________________________________________________________________________ Employer: __________________________________ Occupation: ____________________________ Work Ph: ____________________ Cell Phone: _________________________________ Email Address: _______________________________________________________ CHURCH INFORMATION Parent Name: ________________________________________________ Relationship to Student: ______________________________ Home Address: ___________________________________________________ Home Phone: ___________________________________ Employer: _______________________________________ Occupation: _________________________ Work Ph: __________________ Cell Phone: _____________________________________ Email Address: __________________________________________________ Parent Name: _______________________________________________ Relationship to Student: _______________________________ Home Address: ___________________________________________________ Home Phone:___________________________________ Employer: ______________________________________ Occupation: _________________________ Work Ph: ___________________ Cell Phone: _____________________________________ Email Address ___________________________________________________ If either parent (or step-parent) is forbidden by court order from having access to the child or school records, please give that parent’s name:____________________________________________. Written documentation of court orders must be submitted to the school. 1. Do you profess faith in Jesus Christ for eternal salvation? (Father) ______ Yes ______No (Mother) ______Yes ______No (Children) ______ Yes ______ No 2. Church your family currently attends: Name:____________________________________________________________________ Address: ____________________________________________________________________________________________________ Denomination: _________________________________________ Pastor: ______________________________________________ 3. Do both parents attend this church? _____ Yes _____ No 4. Are you members of a church? If so, where?______________________________________________________________________ 5. Please explain your current involvement in church activities (choir, Sunday School teacher, etc.). ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ 6. Briefly describe how you became a Christian and describe your daily Christian experience. (Use separate sheet if necessary) Father:_____________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ 7. Briefly describe how you became a Christian and describe your daily Christian experience.(Use separate sheet if necessary) Mother:____________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ GRANDPARENT INFORMATION GRANDPARENTS: (This information will allow us to send your child’s grandparents newsletters and invitations to special events throughout the year.) Name: ________________________________________ Address: ___________________________________________________________ __________________________________________________________________________________________________________________ Email address: ____________________________________________________________________________________________________ Name: ________________________________________ Address: ___________________________________________________________ __________________________________________________________________________________________________________________ Email address: ____________________________________________________________________________________________________ Name: ________________________________________ Address: ___________________________________________________________ __________________________________________________________________________________________________________________ Email address: ____________________________________________________________________________________________________ Name: ________________________________________ Address: ___________________________________________________________ __________________________________________________________________________________________________________________ Email address: _____________________________________________________________________________________________________ REFERRAL Referral: How were you referred to Maranatha Christian Academy? (Drive By, Newspaper, Church, Friend, Family enrolled in MCA, web site, phonebook, etc.) ______________________________________________________________________________________________________ MISSION STATEMENT As a ministry of McEver Road Baptist Church, Maranatha Christian Academy is dedicated to assisting Christian parents in fulfilling their God-given responsibility of training their children by providing a godly atmosphere that equips students to grow both academically and spiritually in order to serve God effectively in their home, church, and community. Let this mind be in you, which was also in Christ Jesus. Philippians 2:5 NON-DISCRIMINATION STATEMENT Maranatha Christian Academy admits qualified students of any race, color, biological gender or ethic origin to all rights, privileges, programs and activities. In addition, the school does not discriminate on the basis of race, color, biological gender, or ethnic origin. PARENTAL COMMITMENT TO MARANATHA CHRISTIAN ACADEMY In signing this application, we acknowledge our commitment to the following: 1. To support the educational philosophy, objectives, and standards of conduct of Maranatha Christian Academy 2. To accept teacher and administrative authority and to cooperate with the teachers in a spirit of partnership in the training of our child. 3. To be willing to give beyond our tuition as God leads and enables. 4. To volunteer time and assistance when requested, as able. 5. To follow God’s line of authority. When differences of opinion exist, we will go first to the person with whom we have the prob- lem. If not resolved, we will go with the individual to his/her supervisor. (Matthew 18:15-17) 6. To pay tuition when due and to make financial arrangements through the bookkeeper’s office when necessary. 7. We agree to the policies as set forth in the Parent/Student Handbook If, at any time during the training of our child, we can no longer work together in a spirit of unity, and all reasonable avenues of com- munication are exhausted, we will withdraw our child from Maranatha Christian Academy. We agree that the failure of our child to uphold the principles and guidelines of the Family-School Handbook may result in dismissal from Maranatha Christian Academy. Withdrawals: I understand that my student(s) is accepted for the entire school year unless expressly agreed in advance to the contrary. If we voluntarily withdraw or request withdrawal from the school, we agree to abide by the tuition policies stated in the 2009-10 En- rollment Contract. After acceptance and payment of Registration and Textbook/Instructional fees, we understand that all student withdrawals, that occur prior to the first day of school, will result in a per family withdrawal fee of $200.00. If tuition is past due, any fees for field trips, class trips, etc. regardless of payer’s intent, will be transferred to the tuition account to sat- isfy any past due amount. Past due accounts may be turned over to a collection agency; parents are responsible for all collection fees. Final grades, credits, and/or diplomas will be held until accounts are paid in full. __________________________________________________ __________________ ________________________________________ Signature of Father (or Legal Guardian) Date Name Printed ________________________________________________________________________ _______________________________________ Signature of Mother (or Legal Guardian) Date Name Printed