Revive Academy Interest Form
Interest Form
Guardian Contact Information
Guardian #1 First Name
Guardian #1 Email
Guardian #1 Last Name
Guardian #1 Phone Number
What is Guardian #1's Relationship to the Student?
Where do you currently attend church?
Guardian #2 First Name
Guardian #2 Email
Guardian #2 Last Name
Guardian #2 Phone Number
What is Guardian #2's Relationship to the Student?
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Student Information
Click the + button beside the field to add multiple students
Student Info
Name
Grade Level
Previous School(s)
Current School
Location
- Select Location -
Homer
Anchor Point
East End
Ninilchik
Other
Other Location
What previous experience do they have with a private/Christian school?
What interests you the most about Revive Academy?
Do they have any specific questions and/or expectations from a private/Christian school?
How did you hear about us?
- Select -
Word of Mouth
Church
Google
Event
Advertisement (business card, pamphlet, etc.)
Other
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