top of page
Medieval battle field.jpg

Sorry, but this form is now closed.

Kingdom Life Academy

Homeschool Umbrella Enrollment Application

2025-2026 Academic Year

Family Information

Multi-line address

Student Information

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
No

Educational Information

Anticipated School Start Date
Month
Day
Year

Special Considerations

Does your student have learning differences or accommodations you would like us to be aware of?
Yes
No

Fees and Payment Acknowledgement

Intended Payment Method
Online
Check
Cash

Please select the correct fee for your Child

Base fee

(K-8)

High School

Base fee +oversight

total
$75
$105

Statement of Faith and Conduct

Parent Agreement and Signature

Agreement Confirmation

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year
bottom of page