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Request Information

Thank you for your interest in Twin Tiers Christian Academy!

Please fill out the form below, and our Admissions Office will contact you shortly to provide additional information regarding your request.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • How Did You Hear About Us?
    Details:

  • What is you main inquiry?

  • Are you interested in joining us for a Prospective Student Day or Open House?

    For each Prospective Student Day, there is a corresponding Open House that is held that evening from 6:00-8:00pm at the School!
    Choose which event you are interested in, and we will reach out to confirm with you!
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •