Student Registration

Register Your Student

Registration takes about 5 minutes. We'll follow up to confirm your student's class schedule.

Completely voluntary
Requires written parental permission
No cost to your family
No impact on core academic time

Student Registration Form

Fields marked required must be completed before sending.

Student Information

Student First Namerequired

Student Last Namerequired

Date of Birthrequired

Format: YYYY-MM-DD

School Attending & Graderequired

Student Addressrequired

Cityrequired

Staterequired

Ziprequired

Emailrequired

Special Notes (Allergies, Medical Needs, Health Issues)

Parent / Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent Address (if different from student)

Relationship to Student

Phone

Preferred Method of Contact

PhoneEmailText

Emergency Contact

Someone other than the parent or guardian listed above.

Emergency Contact Full Name

Relationship

Emergency Contact Phone number

Parent/Guardian Acknowledgement

I am enrolling my child in the New London Faith Group Christian Character Academy and would like to receive additional information regarding program participation, schedules and requirements.

Allow to Attendrequired

Consent to photography and/or video of my studentrequired

Your student's information goes only to CCA staff and the volunteers leading their class. By submitting this form you are asking us to contact you by email, phone, or text about the program. See our Privacy Policy.

We never sell or share your information. Registering also means you agree to our Terms of Use.

Want to help, too?

Every class is led by volunteers from local churches. Parents are welcome to serve alongside us.

Volunteer With Us