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Thank you for your interest in Yorktown Christian Academy! We are an independent evangelical Christian school ministering to evangelical Christians in the Corpus Christi area. We have an admission requirement that at least one parent have a clear profession of faith in Christ. There is also an expectation that the family is actively involved in their church.

Please fill out the form below.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Gender *
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Gender *
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us?
    Details:

  • Are you actively involved in a church?
    * Yes   No

  • What is the name of the church and the nature of your involvement?
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Interests
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •