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Basic Information

Today's Date: Child's Name: Address: City: State: Zip: Home Phone: Date Of Birth: Admission Date: Mother's Name: Father's Name: Your Email Address:

Additional Information

Applying For: New School Year Need ASAP Summer Only How did you hear about Evangel? Are you being referred by another parent at the center: YesNo If yes then who? Did you or a family member attend Evangel Christian Academy? YesNo If yes then who? Are you a member of First Assembly, Shreveport Community Church? YesNo Are you considering ECA for Elementary level grades? YesNo What school do you plan for your child to attend? Is your child completely potty trained? YesNo Would you like to be added to our waiting list? YesNo

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Submit To Waiting List