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Application For Waiting List
Please complete the form below:
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:
Yes
No
If yes then who?
Did you or a family member attend Evangel Christian Academy?
Yes
No
If yes then who?
Are you a member of First Assembly, Shreveport Community Church?
Yes
No
Are you considering ECA for Elementary level grades?
Yes
No
What school do you plan for your child to attend?
Is your child completely potty trained?
Yes
No
Would you like to be added to our waiting list?
Yes
No
Image Verification
Please type the characters you see in the picture below:
Submit To Waiting List