top of page

HOME
ABOUT
LIVE
GIVE
CONNECT GROUPS
SCHOOL
More

Use tab to navigate through the menu items.

Sorry, but this form is now closed.

Kingdom Life Academy

Homeschool Umbrella additional Child Enrollment Application

2025-2026 Academic Year

Family Information

Parent or Legal Guardian first name*

Parent or Legal Guardian last name*

Spouse Name (if applicable)

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

County of Residence*

Primary Phone*

Secondary Phone

Primary Email*

Secondary Email

Student Information

Student Full Legal Name*

Date of Birth*

Month

Day

Year

Grade Level for Upcoming School Year

Has this student previously been enrolled in public school, private school, or another homeschool umbrella?*

Yes

Educational Information

Primary Parent Educator Name*

I understand that I am the primary educator of my child

Planned Curriculum or Educational Approach (optional)

Anticipated School Start Date*

Month

Day

Year

I understand that Kingdom Life Academy requires 180 instructional days per academic year

Special Considerations

Does your student have learning differences or accommodations you would like us to be aware of?*

Yes

Statement of Faith and Conduct

I agree to respect the Christian foundation of Kingdom Life Academy and uphold honesty, integrity, and respectful communication

Parent Agreement and Signature

Agreement Confirmation

I have read and agree to the Kingdom Life Academy Handbook

I understand I am the primary educator of my child

I agree to submit attendance and grade reports by stated deadlines

I understand failure to comply with policies may result in dismissal

Parent or Legal Guardian Printed Name*

Signature*

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date*

Month

Day

Year

Kingdom Life Ministries

629-250-9589

admin@kingdomlifebc.com

6978 Lebanon Road Suite D, Mt. Juliet, TN 37122

Connect with Us Today

Email*

Phone

Yes, subscribe me to your text alerts

First name*

Last name*

Let us hear from you

Accessibility Statement

Terms & Conditions

bottom of page