"Train up a child in the way he should go: and when he is old, he will not depart from it." 

— Proverbs 22:6 (KJV) 

MICAH Christian School exists to partner with families in providing an excellent, Christ-centered education that nurtures the whole child — spiritually, academically, socially, and physically. We are committed to cultivating a love for learning, rooted in Biblical truth, equipping each student to glorify God and serve others with integrity and purpose. 

Family Information

If divorced or separated, who has legal custody? We must have a copy of divorce/custody papers on file.    

Where do you attend church? 

Student Information

Academic & Behavioral History

Health Information

If your child is on a medication and it will need to be administered while at school, please contact the front office to complete the consent and medication administration forms.  

Authorization for Pick up

Spiritual Life 

EMERGENCY CONTACT & MEDICAL AUTHORIZATION

Medical Information

Medical Authorization

In the event of an emergency, I authorize MICAH Christian School to secure emergency medical treatment for my child if I cannot be reached. I understand that I am financially responsible for any medical expenses incurred. 

I have read and agree to the above Medical Authorization statement. 

Life-Saving Measures Consent: 

Life-Saving measures are emergency interventions designed to prevent death or severe injury in critical situations. They include, but are not limited to: 

•  Stopping severe bleeding by applying pressure or tourniquets 

•  Treating anaphylaxis (severe allergic reactions) 

•  Performing Heimlich maneuver for choking 

•  Removing obstructions from the airway 

•  Using an EpiPen for severe allergic reactions 

•  CPR (cardiopulmonary resuscitation) 

•  AED (automated external defibrillator) 

If my child experiences a life-threatening situation while at MICAH or at/on a school activity or field trip, I understand and give permission for trained personnel to provide life-saving measures.

CONTINUOUS ENROLLMENT POLICY

Please read the following policy carefully before signing below. 

4.1    Continuous Enrollment Model. Beginning with the 2026–2027 academic year, MICAH Christian School operates under a Continuous Enrollment model. Once a student is enrolled, he or she is automatically re-enrolled for each subsequent academic year unless the parent or guardian submits a written withdrawal notification to the school office. 

4.2    Withdrawal Notification. Withdrawal notifications must be submitted in writing to the school office no later than July 1 preceding the upcoming academic year. Written notification may be delivered in person, by mail, or by email to the school's designated administrative address. 

4.3    Financial Responsibility. Families who do not submit a withdrawal notification by the July 1 deadline will be considered enrolled for the upcoming academic year and will be responsible for all applicable tuition and fees as outlined in the Financial Agreement. 

4.4    Tuition and Fee Adjustments. The school reserves the right to update tuition and fee schedules annually. Families will be notified of any changes no later than June 1 of each year. 

4.5    Termination of Continuous Enrollment. Continuous enrollment may be terminated by the school under any of the following circumstances: 

(a) The family fails to meet its financial obligations to the school; 

(b) The student does not comply with the school's code of conduct, behavioral expectations, or academic standards; or 

(c) Other circumstances as determined by the school administration in its sole discretion. 

4.6    Purpose. This Continuous Enrollment Policy is designed to streamline the enrollment process, reduce administrative paperwork, and ensure that families are able to secure their child's placement each year without the need for annual re-application. 

Acknowledgment of Continuous Enrollment Policy 

I have read and understand the Continuous Enrollment Policy set forth above. I agree that my child will remain enrolled at MICAH Christian School each year until I submit a written withdrawal notification to the school office by the stated deadline of July 1. 

Financial Agreement

Tuition Payment Options 

Financial Responsibility Statement 

I understand that tuition and fees are due according to the selected payment plan. I agree to fulfill my financial obligations to MICAH Christian School. I understand that failure to maintain current tuition payments may result in the suspension of my child's enrollment and/or the withholding of academic records. 

Registration Fee Acknowledgment: I understand that the registration fee is non-refundable and is due at the time of application submission. 

Book Rental Fee: I understand the book rental fee is due on July 1st and the books are school property. 

Students starting at the beginning of the year and withdrawing during the first six weeks will owe a minimum of three installments. Any student staying after the first six weeks and withdrawing before the second semester will owe six installments. If withdrawing after the second semester begins, ten installments will be due. I understand the school reserves the right to dismiss any child who fails to comply with school regulations or whose financial obligations remain unpaid. All financial obligations must be met, and books returned before school records are released. 

Delinquent Accounts & Collections

Failure to pay tuition, fees, or any outstanding balance by the required due dates may result in the account being placed on hold. If the balance remains unpaid after reasonable attempts to collect payment, the account may be referred to an external collection agency, and the parent or guardian will be responsible for any additional fees or costs associated with the collection process.

Statement of Faith & Parent Agreement

MICAH Christian School is a ministry that operates in accordance with Biblical principles. Our educational philosophy is rooted in the belief that all truth is God's truth, and that every subject and area of school life should reflect the character and teachings of Jesus Christ. By enrolling your child at MICAH Christian School, you acknowledge and agree to the following: 

1. I have read and understand the school's Statement of Faith, and while I may not agree with every detail, I will not undermine the school's doctrinal positions in my interactions with my child, other students, or staff. 

2. I support the school's mission to integrate Biblical teaching into all aspects of education, including academics, athletics, fine arts, and student life. 

3. I will support the school's standards of conduct and discipline policies, and I will work cooperatively with the administration and faculty to address behavioral or academic concerns. 

4. I give my child permission to participate in physical education. If my child has a physical reason he/she cannot participate, the health reasons and a doctor's note must be on file in the office. 

5. I understand the school has full discretion for placing my child in the proper grade. My participation is needed in lending practical and prayer support in a mutual effort to train our children. I understand the dress/discipline codes and I agree to abide by them. 

6. My child has permission to participate in school activities and field trips (notes will be sent in advance for field trips during the year). I understand the school will not be liable for injuries that occur during such events. 

7. I will make every reasonable effort to attend parent-teacher conferences and school functions as I am able. 

8. I will ensure that my child attends school regularly and arrives on time, understanding that consistent attendance is essential to academic success. 

9. I will communicate openly and respectfully with teachers and administration, seeking to resolve concerns through proper channels. 

10. I understand that the school reserves the right to dismiss any student whose conduct, attitude, or family cooperation is not in harmony with the school's standards, mission, or policies, and that such decisions are at the sole discretion of the school administration. 

By signing below, I affirm that I have read, understand, and agree to the statements outlined above. 

Media Release & Photo Consent

I grant permission for MICAH Christian School to use photographs, videos, or other media of my child for school publications, social media, website, newsletters, yearbooks, and promotional materials. 

I understand that my child's name may or may not accompany such media, and that this consent remains in effect for the duration of my child's enrollment unless I revoke it in writing. 

Before School Program

I understand if my child is dropped off before 8AM they will be sent to the preschool building. I understand I will be charged a fee of $10 per day, per child. 

Authorization & Final Signature

I verify that all information provided in this application is true and complete to the best of my knowledge. I understand that providing false or misleading information may result in denial of admission or dismissal from MICAH Christian School. 

I verify that I will send my child's birth certificate, current physical, social security card, immunizations, and eye examinations (K5) into the school office before August 1^st 

I authorize MICAH Christian School to contact previous schools, churches, and personal references as needed to evaluate this application. I also authorize the release of my child's academic records, health records, and any other relevant documentation from prior institutions.