Admissions Inquiry

If you would like more information on the admissions process, please complete the form below.

Scholar's Information
Name*
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Grade Applying*
Age*
Date of Birth*
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City / State of Birth
City State
Parent / Guardian Information
Provide the Full Name and Address of the Parent(s)/Guardian(s) submitting this application:
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Address*
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Phone*
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Email*
Employer*
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Work Phone*
Scholar now lives with*
Scholar’s Medical Information
Please provide any health problems your scholar may have.
Please list any medications the scholar requires.

Valiant Cross Academy
301 Dexter Avenue
Montgomery, AL 36104

Scholar's Information