Homeschool Application

For homeschool students who wish to enroll in courses offered at Barrington Christian Academy

Step 1 of 2

Barrington Christian Academy admits students of any race, color, national or ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national or ethnic origin in the administration of its education policies, admissions policies, tuition assistance programs, and athletic and other school-administered programs.
STUDENT INFORMATION
Student's Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Check the course/sport for which you are applying*
Home Phone
Cell Phone
Current Grade
Date of Birth
Date Format: MM slash DD slash YYYY
FAMILY INFORMATION
Father's Name*
First Last
Cell Phone
Email
Enter Email Confirm Email
Mother's Name*
First Last
Cell Phone
Email
Enter Email Confirm Email
The applicant resides with:
- Mother
- Father
- Mother & Father
- Step-mother
- Step-father

HEALTH INFORMATION
Family Physician or Pediatrician*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Has your child had any serious accidents or illnesses requiring hospitalization or prolonged treatment?
- Yes
- No
If yes, please explain:
Current medications - (Full health and immunization records will be required prior to enrollment)
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BARRINGTON CHRISTIAN ACADEMY STATEMENT OF FAITH

We believe:
● There is one God, eternally existent in three persons: the Father, Son and Holy Spirit;

● That the Bible is the inspired, the only infallible, authoritative Word of God, which is “useful for teaching, rebuking, correcting, and training in righteousness, that the man of God may be equipped for every good work” (II Timothy 3:16-17);

● That God called the worlds into being, created us in His own image and sets before us the ways of life and death. He seeks in holy love to save all people from aimlessness and sin;

● In the deity of Jesus Christ, God incarnate, born of a virgin, who lived a sinless life and became our atonement through His shed blood. He came to conquer sin and death and to reconcile the world to Himself. He was crucified and rose from the dead. He ascended to the Father, is Lord over all of life and will come again in power and glory;

● That salvation comes to us by the “washing of regeneration and the renewing by the Holy Spirit” (Titus 3:5);

● That God calls us into His body to accept the cost and joy of discipleship, to be His servants in the service of others, to resist the powers of evil and to proclaim the gospel to all the world;
● That He promises to all who trust in Him:
forgiveness of sins and fullness of grace, His
presence in trial and rejoicing, and eternal life
in His kingdom which has no end.

Your signature indicates that you have read the statement of faith of Barrington Christian Academy, and are willing to have your child trained in accordance with the same.
Signature (Parent/Guardian)*

Homeschool Application

Step 1 of 2

STUDENT INFORMATION

FAMILY INFORMATION

HEALTH INFORMATION

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