Admissions Inquiry

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

Scholar's Information
Name*
First Middle Last
Grade Applying*
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
City / State of Birth
City State
Parent / Guardian Information
Provide the Full Name and Address of the Parent(s)/Guardian(s) submitting this application:
Name*
First Last
Address*
Street Address Address Line 2 City State Zip
Phone*
Alternate Phone*
Email*
Employer*
Occupation*
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