Enrollment Interest Agreement

By completing this form, you are stating your interest in collaborating with Roots & Wings Christian Academy.

Parent/Guardian Information

Name(s) Address Phone Email

Student Name 2026/2027 Grade Date of Birth Gender Program Selection

Full Hybrid (3 days) Academic Only (2 days) Enrichment Only (1 day)

Student Name 2026/2027 Grade Date of Birth Gender Program Selection

Full Hybrid (3 days) Academic Only (2 days) Enrichment Only (1 day)

Student Name 2026/2027 Grade Date of Birth Gender Program Selection

Full Hybrid (3 days) Academic Only (2 days) Enrichment Only (1 day)

Student Name 2026/2027 Grade Date of Birth Gender Program Selection

Full Hybrid (3 days) Academic Only (2 days) Enrichment Only (1 day)

Student Name 2026/2027 Grade Date of Birth Gender Program Selection

Full Hybrid (3 days) Academic Only (2 days) Enrichment Only (1 day)

"They will soar on wings like eagles." — Isaiah 40:31

I have read and agree to the Statement of Faith.

By typing my name below, I digitally sign this agreement to request more information and express intent to enroll.

Digital Signature (Type your full name) Today's Date