BPCA 2023-2024 Enrollment

After submitting the form you will be receiving a follow up email and or phone call to finish the process. We will respond as soon as possible 1-3 days Monday – Friday
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If you need after school care please mention in email when we respond

Thank You For Choosing Balperazim Christian Academy

Step 1 of 2

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PARENT INFORMATION
Parent*
First Last
Relationship*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Need to add another parent or guardian
- Yes
- No
Parent / Guardian
First Last
Relationship
Email
Phone
Address
Street Address Address Line 2 City State ZIP Code
How Many Kids*
- 1
- 2
- 3
- 4
- 5+

STUDENT (1) INFORMATION
(1) Name
First Last
(1) Birth Date
(1) Current Grade Level
If they were recently in 1st grade then it will be 2nd etc...
Immunization Records*
You can Upload as a (PDF or JPG)
Drop files here or
Birth Certificate*
You can Upload as a (PDF or JPG)
Drop files here or
Last Report Card or Transcript*
You can Upload as a (PDF or JPG)
Drop files here or
STUDENT (2) INFORMATION
(2) Name
First Last
(2) Birth Date
(2) Current Grade Level
If they were recently in 1st grade then it will be 2nd etc...
Immunization Records*
You can Upload as a (PDF or JPG)
Drop files here or
Birth Certificate*
You can Upload as a (PDF or JPG)
Drop files here or
Last Report Card or Transcript*
You can Upload as a (PDF or JPG)
Drop files here or
STUDENT (3) INFORMATION
(3) Name
First Last
(3) Birth Date
(3) Current Grade Level
If they were recently in 1st grade then it will be 2nd etc...
Immunization Records*
You can Upload as a (PDF or JPG)
Drop files here or
Birth Certificate*
You can Upload as a (PDF or JPG)
Drop files here or
Last Report Card or Transcript*
You can Upload as a (PDF or JPG)
Drop files here or
STUDENT (4) INFORMATION
(4) Name
First Last
(4) Birth Date
(4) Current Grade Level
If they were recently in 1st grade then it will be 2nd etc...
Immunization Records*
You can Upload as a (PDF or JPG)
Drop files here or
Birth Certificate*
You can Upload as a (PDF or JPG)
Drop files here or
Last Report Card or Transcript*
You can Upload as a (PDF or JPG)
Drop files here or
STUDENT (5) INFORMATION
(5) Name
First Last
(5) Birth Date
(5) Current Grade Level
If they were recently in 1st grade then it will be 2nd etc...
Immunization Records*
You can Upload Immunization Records as a (PDF or JPG)
Drop files here or
Birth certificate*
You can Upload Birth Certificate as a (PDF or JPG)
Drop files here or
Last Report Card or Transcript*
You can Upload Transcript as a (PDF or JPG)
Drop files here or
Phone
This field is for validation purposes and should be left unchanged.

Feedback Form

Get In Touch

Location: 4921 Bragg blvd, Fayetteville, NC 28303

Telephone: (910) 487-4220

Fax : (910) 864 – 3451

Email: BPCA@bpacademy.org

School Hours: M-F: 8am – 3pm

Step 1 of 2

PARENT INFORMATION

STUDENT (1) INFORMATION

STUDENT (2) INFORMATION

STUDENT (3) INFORMATION

STUDENT (4) INFORMATION

STUDENT (5) INFORMATION

Feedback Form

Get In Touch