KCA Pre Registration

Please fill out this form to begin the Pre Registration Process for Keystone Christian Academy. The information you provide will be sent via email to a KCA School Administrator where it will be reviewed and responded to as soon as possible.

If you have any questions or have any questions pertaining to this form and its requested information, please send an email to church.office@keystonebaptist.org or use the "contact us" located here.


Parent or Guardian Information

Your Name(*)
Please let us know your name.

Your Email(*)
Please let us know your email address.

Phone Number
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Street Address
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City
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State
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Zipcode
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Student Information

1st Child Name(*)
Please complete 1st Child's Name

1st Child Grade Level(*)
A Grade Level Must Be Selected


2nd Child Name
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2nd Child Grade Level
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3rd Child Name
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3rd Child Grade Level
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4th Child Name
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4th Child Grade Level
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Other Background Information

Church Currently Attended OR Religious Background(*)
Church Currently Attended OR Religious Background must be filled in.

How Did You Hear About Us?(*)
How did you hear about us must be filled in.

Any Other Information You Want To Add OR Have Direct Questions?
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Validation(*)
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Please Click SUBMIT Button Only Once. The system may need extra time to process.