Inquiry Form

Thank you for your interest in our school! Please complete the form below and our Admissions Office will contact you to provide the information you desire.

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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 Address
Street Address * City * Country * State * Zip * How Did You Hear About Us? * Details: Which of the following areas are you interested in? Select all that apply. * International student Daycare Preschool Elementary Middle / High School What days of the week do you anticipate that you will need Daycare? Monday Tuesday Wednesday Thursday Friday For Daycare, please note which age group your child would be enrolling for: Is the Preschool age student potty-trained? Yes No Which option is your intention for Preschool? How would you be paying for the Academy? * Why are you making a change at this time? * Church Affiliation * Student 1 First Name * Last Name * Birthdate * (mm/dd/yyyy) Gender * Grade Level of Interest * School Year * Current School * Any academic probation? * Will your student need Before and After Care services? On campus students only Who does the student live with? * Has this student ever attended COLCA? Yes No Is There Another Student? Yes No Please wait Parent / Guardian Notes