- Central Arkansas Christian Schools

Student Name*
First Last
Grade Entering*
Tshirt Size*
Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Email Address*
Emergency Contact Name*
First Last
To be used if parent/guardian cannot be reached.
Emergency Contact Relationship to Student*
Emergency Contact Cell Phone*
Payments
Registration Fee: If a spot becomes available, I understand that my FACTS account will be drafted for $40 (before April 22) or $50 (after April 23).*
- I understand.
Since you are on the waitlist, your account will not be charged at this time. If a spot becomes available, you will be charged the registration fee.

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