Parent Commitment ZAREPHATH ACADEMY Application Only Available on Desktop Browers NOTE: APPLICATION MUST BE COMPLETED BY THE FAMILY WHERE THE CHILD RESIDES 1. We have read and are in agreement with the Zarephath Academy’s philosophy of education, mission statement, and Student Handbook. 2. We, as parents, accept the challenge to “train up a child in the way he should be,” Proverbs 22:6. We do state that this training will be carried on in the home and place our trust in Zarephath Academy to extend that training. 3. We do hereby state that we have made a thorough investigation of the school’s program, Curriculum behavior standards, dress code, etc., and we agree to make them our glad-hearted choice for the coming school year. 4. We agree to uphold and support the high academic standards of the school and to give our child encouragement in the completion of homework assignments. 5. We will faithfully support the school through our prayers and positive attitude; and in keeping with Matthew 18:15, we are committed to giving a good report by sharing any complaints and negative comments only with the people involved. Unresolved issues will be taken care of by using the school’s chain-of-command. 6. We understand that the character and behavior standards of students of Zarephath Academy do not tolerate profanity, obscenity in word or action, dishonor to the, disrespect to the personnel of the school, or continued disobedience to the established policies of the school. 7. We believe that discipline is necessary for the benefit of each student as well as for the entire school and we give permission to the teachers and administration to make and enforce school r regulations in a manner consistent with Christian principles and discipline as set forth in the scriptures (Proverbs 13:24, 22:6, 29:15&17, Colossians 3:20, Hebrews 12:6) 8. We pledge that if, for any reason, our child does not respond favorably to the school, we will do everything in our power to cooperate with the school to help our child make the necessary adjustments. 9. We, as parents of the student applicant, do sincerely give our pledge to the above items and we understand that failure of the student to comply with the established regulations and behavior standards, a demonstrated lack of parental commitment, or failure to meet financial obligations will forfeit the student’s privilege of attending. Zarephath Academy accordingly reserves the right to terminate or not renew a student’s enrollment if the administration reasonably concludes that the actions of a parent or guardian make a positive and constructive relationship impossible or otherwise seriously interfere with the school’s accomplishment of its educational and spiritual goals. 10. We agree that Zarephath Academy will consider the enrolling family 1) Responsible for all financial obligations incurred by the student(s) 2) the authorized recipient of all school notices. Your signature indicates that the information in the enrollment application is correct and that you have read the Mission Statement, Statement of Faith, and Student Handbook. Your signature also indicates that you are in agreement with the stated philosophy and guidelines. You are also indicating that you are under no financial obligation to any former school so that records may be released to Zarephath Academy. Parent / Guardian 1 Parent/Guardian 1 Signature Clear Parent / Guardian 2 Parent/Guardian 2 Signature Clear Your signature indicates that you reviewed the Student Financial Contract and are in agreement to its terms. Parent/Guardian 1 Signature Clear Parent/Guardian 2 Signature Clear Your signature indicates authorization for Zarephath Academy to take photograph during school hours and functions for use in the yearbook, bulletin boards, and advertising as needed. Parent/Guardian 1 Signature Clear Parent/Guardian 2 Signature Clear If you have no objection to contacting a previous teacher, please sign the statement below: “I understand the information supplied by previous teachers or administrators will be used only in the selection of applications to Zarephath Academy. I also understand the completed Teacher / Administrator recommendation Form will not be made available to me or to anyone outside of Zarephath Academy.” If, for any reason you would prefer us not to contact a previous teacher or administrator, please explain the reasons hers and return to Zarephath Academy. Teacher or Administrator you want to use as a reference Parent/Guardian 1 Signature Clear Parent/Guardian 2 Signature Clear Submit

First name Last name Date of Birth SSN Phone Address Multi choice Cumulative Records Immunization Records Complete Transcript Standardized Test Scores Withdrawal Grades ESE Records (If Applicable) Submit

Application for Enrollment ZAREPHATH ACADEMY Application Only Available on Desktop Browers NOTE: APPLICATION MUST BE COMPLETED BY THE FAMILY WHERE THE CHILD RESIDES Student First Name Middle Name Last Name Date of Birth Age Address Phone Grade Entering A. Family Information Parents Status Choose an option Child Lives With: Parent / Guardian 1 Parent / Guardian 2 If living w/ someone other than parents Address Phone Email Employment Information: Parents Status Choose an option Emplyer Name Business Address Business Phone Other Children in Family First Name Age Grade School First Name Age Grade School First Name Age Grade School B. Information Concerning Grandparents Paternal Grandfather Phone Address Paternal Grandmother Phone Address Maternal Grandfather Phone Address Maternal Grandmother Phone Address C. Church Information: Person Choose an option Church Name Attendance Choose an option Person Choose an option Pastor Name Phone Number Length of time at church List church activities in which your family participates Person Choose an option Church Name Attendance Choose an option Person Choose an option Pastor Name Phone Number Length of time at church List church activities in which your family participates D. Academic Information: Repeated a grade in school? Yes No Had disciplinary difficulties in school? Yes No Been tested for a learning difficulty? Yes No Attended Resource Class? Yes No Attended summer school? Yes No Had extended absences from school? Yes No Attended Speech Therapy classes Yes No Attended Gifted/Talented? Yes No Been expelled from school? Yes No Please explain any questions answered YES E. Health Information Repeated a grade in school? Yes No Has the child ever been arrested, taken illegal drugs, received treatment for substance abuse? Yes No If yes, please explain If yes, please explain G. General Information How did you hear about Zarephath Academy? Your Signature Clear Submit

Sarah & Tom April 28th, 2023 Family Portraits April 28th, 2023 Championships April 28, 2023

We equip students with the knowledge, skills, and values necessary to impact the world "Each of you should use whatever gif t you have received to serve others, as faithful stewards of God's grace..." 1 Peter 4:10 Experience The Zarephath Academy Difference Zarephath Academy is an educational institution that provides a well-rounded academic foundation for students. The school's faculty is highly qualified and dedicated to helping students reach their full potential. By emphasizing academic excellence, we prepare students for K-12 success, college and beyond. Student Life Student life is at the forefront of our focus and serves as the central pillar of our educational philosophy. Student Information Open Enrollment We accept enrollment applications year-round to provide flexibility and convenience for families interested in joining our school community. Apply Today LATEST NEWS SUBSCRIBE TO SCHOOL NEWS First Name Last Name Email Write a message Submit Thanks for submitting! Student Life & Culture Follow #Zarephatheagles on Instagram Zarephath Academy K-12 QUICK NAVIGATION About Academics Students Parents News Events Admissions Contact STAY CONNECTED Facebook Instagram GET IN TOUCH 1028 E 10th Street Jacksonville, FL 32206 Tel: (904) 632-1330 info@zcajax.org

Zarephath Christian Academy Allergy Information Form Please fill out the following form to provide us with important details regarding your child's allergies. This information is vital to ensure your child's safety and well-being while attending our school. Student Name Date of Birth Grade Parent/Guardian Email Phone Please list all known allergies (food, medication, environmental, etc.): Please describe the symptoms your child experiences when exposed to the allergen(s): Does your child require medication for their allergy? Yes No If yes, please list the medication(s) and instructions for administration: Does your child carry an EpiPen or other emergency medication? Yes No If yes, please provide specific instructions for its use: Are there any foods or environmental triggers that should be avoided while your child is at school? Emergency Contact Information: Emergency Contact Name Relationship to Student Phone Number Alternate Phone Number Parent/Guardian Acknowledgment: I understand that it is my responsibility to notify the school immediately if there are any changes to my child's allergy information or treatment plan. I give permission for the school to take necessary actions, including the administration of medication in case of an allergic reaction, according to the instructions provided. Signature Clear Date Month Submit

Tuition & Fees 2023-2024 Tuition Rate Sheets Scholarships Zarephath Christian Academy does not offer scholarships directly, but we gladly accept them. We participate in the following Step Up for Students scholarships: Florida Tax Credit (FTC), Family Empowerment Scholarship for Educational Options (FES-EO), and Family Empowerment Scholarship for Unique Abilities (FES-UA). To learn more or apply for these scholarships, please click the button below. Apply for Scholarships Get in Touch This is a Paragraph. Click on "Edit Text" or double click on the text box to start editing the content.

2022 - 2023 School Calendar The school calendar page at Zarephath Academy is your one-stop shop for staying informed on important dates and upcoming events. You can easily view all upcoming events from parent-teacher conferences to school holidays and plan accordingly. Upcoming Important Dates & Events Bookmark this page to stay up-to-date on all the exciting events and activities happening at Zarephath Academy! March 13th - 17th, 2023 Spring Break - Schools/Admin Offices Closed March 21st, 2023 End of 3rd Grading Period March 22nd, 2023 Start of 4th Grading Period March 27th - 31st, 2023 Testing April 7th, 2023 School Closed - Good Friday April 10th, 2023 School Closed - Easter (Observed) April 21st, 2023 Early Dismissal (12:00pm) May 5th, 2023 Early Dismissal (12:00pm) May 12th, 2023 Early Dismissal (12:00pm) May 19th, 2023 Early Dismissal (12:00pm) May 25th, 2023 End of 4th Grading Period May 26th, 2023 Last Day of School Zarephath Academy K-12 QUICK NAVIGATION About Academics Students Parents News Events Admissions Contact STAY CONNECTED Facebook Instagram GET IN TOUCH 1028 E 10th Street Jacksonville, FL 32206 Tel: (904) 632-1330 info@zcajax.org

Release Form ZAREPHATH ACADEMY Application Only Available on Desktop Browers NOTE: APPLICATION MUST BE COMPLETED BY THE FAMILY WHERE THE CHILD RESIDES STUDENTS NAME: ​ ​ ​ I hereby grant ZA to release my child to the following people: ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ Person 1 Relationship Person 2 Relationship Person 3 Relationship Person 4 Relationship Parent / Guardian Your Signature Clear Submit

Release Form ZAREPHATH ACADEMY Application Only Available on Desktop Browers NOTE: APPLICATION MUST BE COMPLETED BY THE FAMILY WHERE THE CHILD RESIDES STUDENTS NAME: ​ ​ I hereby grant permission for my child to use all of the play equipment and participate in all of the activities at Zarephath Christian Academy. ​ I hereby grant permission for my child to attend field trips planned throughout the school year as a motivational and educational supplement to the curriculum. (Parents will be informed of dates, times, destinations, and purposes of all field trips.). ​ I hereby grant permission for my child to be included in evaluations, pictures and videos connected with the school program. ​ I hereby grant permission for the Administrator to take whatever steps necessary to obtain emergency medical care if warranted. ​ These steps may include, but are not limited to, the following: 1. Attempt to contact a parent or guardian. 2. Attempt to contact the child’s physician. 3. Attempt to contact the parents through any of the persons listed on the emergency information form provided by parents at registration). ​ 4. If we cannot contact parents, guardians, or child’s physician, the following actions will be taken: a. Call another physician or paramedics; b. Call an ambulance; c. Have the child taken to an emergency hospital in the company of a staff member. ​ 5. Any expenses incurred under item 4 will be the responsibility of the child’s family. ​ 6. The school will not be responsible for anything that may happen as a result of false information or lack of information given at the time of enrollment. ​ 7. The school will not assume responsibility for a child who has not been officially received or has been dismissed for the day. ​ 8. EMERGENCY CONTACTS ​ ​ Primary Emergency Contact ​ ​ ​ ​ ​ ​ ​ ​ Secondary Emergency Contact ​ ​ Additional Emergency Contact ​ ​ ​ ​ ​ ​ ​ HEALTH INFORMATION ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ ​ Parent/Guardian 1 Parent / Guardian 1 Parent/Guardian 1 Parent / Guardian 1 Emergency Contact Emergency Contact Emergency Contact Emergency Contact Emergency Contact Emergency Contact Emergency Contact Emergency Contact Primary Physician Business Address Phone Number Hospital Preference Does the child regularly take any prescription medicine? YES or NO Yes No Does the child have any health problems? YES or NO Yes No Parent / Guardian Parent/Guardian Signature Clear Submit

Resources Below you will find an array of resources for students and parents. Contact us via email or phone if you are not able to locate a resource you need - info@zcajax.org or 904-632-1355. Supply Lists Kindergarten Supply List 3rd Grade Supply List 1st Grade Supply List 4th Grade Supply List 2nd Grade Supply List 5th Grade Supply List Forms, Applications & Supply Lists Zarephath Application Application Parent & School Agreement P&S Agreement Kindergarten Supply List 1st Grade Supply List 4th Grade Supply List Middle School Supply List Records Request Records Request School Lunch Application School Lunch Application 2nd Grade Supply List 3rd Grade Supply List 5th Grade Supply List High School Supply List Zarephath Academy K-12 QUICK NAVIGATION About Academics Students Parents News Events Admissions Contact STAY CONNECTED Facebook Instagram GET IN TOUCH 1028 E 10th Street Jacksonville, FL 32206 Tel: (904) 632-1330 info@zcajax.org