United Christian Academy

Thank you for your interest in UC Academy.

Please fill out the inquiry form below and our Admissions Office will contact you and provide the information you have requested.

About the Student

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

Program interested in

International Student?

Yes No

For the Fall of

Current School

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Gender

Primary Phone (xxx-xxx-xxxx)

Type

Number

Secondary Phone (xxx-xxx-xxxx)

Type

Number

Email

Mailing Address

How can we help you today?

Tell us more:

What questions can we answer?

How would you like us to reach out?

Discover Kindergarten (Includes Tour)

Please select a Discover Kindergarten time:

Contact for this appointment

First Name

Last Name

Phone

Email

Discover UCA (Includes Tour)

Please select a Discover UCA time:

Contact for this appointment

First Name

Last Name

Phone

Email

Academic Interests

Other Interests

How did you hear about United Christian Academy?

Please specify

Family Name