VPK Application

Fill out the form below to begin the application process. 

*Application does not guarantee enrollment.

Mission Statement

SCA partners with families to provide an outstanding Biblically-integrated education that equips students to: succeed professionally, know God personally, serve God passionately, and edify others persistently.

Vision Statement

SCA will dynamically impact the world for the glory of God by producing academically-equipped, spiritually-shaped, and Holy Spirit empowered individuals for strengthening the Body of Christ, The Church.

Students physical Address/City/State/Zip
(Optional) Student mailing address if different, Address/City/State/Zip
Physician name and phone number
Student Health insurance Company and Group/policy #
Name any medical conditions, past or present, which would restrict physical or academic activities at School.
Name any behavioral conditions, past or present, which would restrict physical or academic activities at School. (for example- emotional disorders, ADHD, ADD, etc)
Is the student taking any prescription medications? If yes, please specify
Does the student have allergies to medications? If yes, please specify
Does the student have other allergies? If yes, please specify
Does the student receive special services such as speech, language, or physical therapy? If yes, please specify
Please explain any other important health information that was not listed above.
Parent/Guardian Mailing Address/City/State/Zip
Best Contact #
Next Best Contact #
(will be used for communication and billing)
Company Name / Phone #
Parent/Guardian Mailing Address/City/State/Zip
Best Contact #
Next Best Contact #
(will be used for communication and billing)
Company Name / Phone #
Parent/Guardian Mailing Address/City/State/Zip
Best Contact #
Next Best Contact #
Parent/Guardian Mailing Address/City/State/Zip
Best Contact #
Next Best Contact #
Relationship to Student
Phone Number
Relationship to Student
Phone Number
Relationship to Student
Phone Number
Please list (using their name as it appears on their ID) persons allowed to pick up your student (do not include parents or contacts listed above)
Please list (using their name as it appears on their ID) persons allowed to pick up your student (do not include parents or contacts listed above)
Please list (using their name as it appears on their ID) persons allowed to pick up your student (do not include parents or contacts listed above)
Please list (using their name as it appears on their ID) persons allowed to pick up your student (do not include parents or contacts listed above)
Please list (using their name as it appears on their ID) persons allowed to pick up your student (do not include parents or contacts listed above)
Please list (using their name as it appears on their ID) persons allowed to pick up your student (do not include parents or contacts listed above)
(Optional) Tell us the students siblings names, grades, and the school they attend
(Optional)
Scroll to Top