* Student Name
Date of Birth *
List any previous schools your child has attended.
Has the applicant ever repeated a grade or been dismissed or withdrawn from a school? If so, please explain:
Has your child ever been diagnosed with any learning or behavioral challenges?
* Emergency Contact
Describe any allergies your child has and note any requirements / treatments that we should be aware of:
Describe any medical conditions your child has and note medication details / treatments that we should be aware of:
* Doctor's Name
* Doctor's Phone
Please state the name of your insurance provider and the policy number:
* Guardian's Name
* Guardian's Address
* Guardian's Phone
Guardian's Relationship to Child:
Guardian's Occupation and Employer:
I give you permission to use the image, likeness, and sound of my child or children as they may be captured in photos, and audio and visual recordings (the “Recordings”) during their participation in classes and other Innovate Academy events, through educational, marketing, and informational materials in photographic, video, digital, and other formats to support Innovate Academy’s religious, educational, and charitable purposes. In granting this permission, I understand that you will choose whether or not to publish the recording; that you have sole discretion to edit the recording for style, content, or length; and that you are not required to provide me any pre-publication review of the Recording before you use it. By giving my permission, I grant Innovate Academy an unlimited, royalty-free license to use and distribute the recording in support of its religious, educational, and charitable purposes, and thereby release and waive any claims of publicity or privacy rights relating to its use or publication of the recording, but in granting this license I do not give up any copyright or performance rights that I may own.
Our Mission: Innovate Academy’s mission is to engage the whole child through a head, heart, and hands approach to learning, in order to grow thoughtful, passionate, and entrepreneurial leaders of culture.
Innovate Academy Statement of Faith: While we are a church-supported academy, hosted by CCDC, all people within the Christian faith are welcome to enroll. We will not cater to any one denomination but teach that all the expressions and streams of Christianity are important. Therefore, our academy stands by the Apostles’ Creed that was once and for all created and agreed upon by the early church in 325 AD.
The Apostles’ Creed: We believe in God, the Father Almighty, the Maker of heaven and earth, and in Jesus Christ His only Son, our Lord: Who was conceived by the Holy Ghost, born of the virgin Mary, suffered under Pontius Pilate, was crucified, dead, and buried. He descended into hell. The third day He arose again from the dead; He ascended into heaven, and sits at the right hand of God the Father Almighty; from thence he shall come to judge the living and the dead. I believe in the Holy Ghost; the holy catholic church; the communion of saints; the forgiveness of sins; the resurrection of the body; and the life everlasting. Amen.
We seek to honor all the streams, movements, and denominations of Christianity that hold to these confessions among the beautifully diverse traditions and practices that exist. We will celebrate this unity through the diversity that has stood the test of time and makes our faith so enduring.
We respect diverse expressions of Christianity and devotional traditions and discussion of them may occur in the course of our studies. Our mentors, however, will cultivate among our scholars an understanding and appreciation of both the variations within and the fundamental unity of the Christian faith. Where differences with respect to belief and practice exist, we believe that beliefs specific to particular Christian denominations are most appropriately taught in the homes and each churches represented.
Parental Partnership Agreement
As a parent I recognize the value in committing my child to the dedicated staff of Innovate Academy, and I agree to the following:
I understand that I am the primary instructor of my child’s education according to scripture and that Innovate Academy is partnering with me to enhance the process. Therefore, I will assure that all work given by mentors is completed to the best of my child's ability.
I understand that my annual tuition payment covers the cost attendance to the academy, including curriculum and classroom supplies purchased but does not include any other costs such as field trips, outings, or project materials.
I understand that my full tuition for Innovate Academy is due at the beginning of each year and is non-refundable after the semester begins.
I understand that if I have any issues, grievances, opinions, or concerns I will voice them according to the Matthew 18 principle with grace, love, and full respect for fellow students, their families, teachers, and staff.
Thank you! Please proceed to the checkout page now to finalize your application by purchasing the $75 application fee.