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Thank you for your interest in Haywood Christian Academy!

Please fill out the form below and our School Office will contact you shortly. If you have any specific questions, please make note of them in the "Parent/Guardian Notes" section of the form and we will be sure to answer those questions in our response. If you require further assistance, please call the ofice at (828) 627-0229, extension 2. We look forward to speaking with you soon.

Sincerely,

HCA Administration

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
  • Home Phone
  • How Did You Hear About Us? *
    Details:

  • Custodial Mother's Name?
    *

  • Custodial Father's Name?
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •