Registration Entry

Student Name

Student Grade

Parent's Name

Primary Parent Email Address

Primary Parent Contact Number

Secondary Contact Name

Secondary Contact Number

Plan Selection

Pay-By-Day 7:00AM - 8:00AM Only 7:00AM - 8:00AM & 3:30PM - 4:30PM 7:00AM - 8:00AM & 3:30PM - 6:00PM 3:30PM - 4:30PM Only 3:30PM - 6:00PM Only

2023-2024 CCA Extended Day

I have read and understand the CCA Extended Day Program payment schedule as well as the policies and procedures.
Monthly fees are due on the date of receipt in FACTS.
There will be a $25 fee for all returned checks.

I understand that we must comply with all financial and procedural policies set forth by Christ’s Church Academy and the CCA Extended Day Program. I have also read and understand the CCA Extended Day Program’s policies and procedures that are posted on the Christ’s Church Academy website.

Parent's Full Name

Today's Date

Submit