Student Registration Add

* Please submit the annual $150 registration fee (non-refundable) and the annual $200 book fee with this application.
* Please be advised a scan/image of your child's birth certificate or passport is required to submit this application.
* Please wait until you have this document available to submit the form.
* For assistance with this step, please contact Sister Amber at sisteramber@thecrescentacademy.org or 607-729-3431.sisteramber@thecrescentacademy.org

Incorrect integer - Grade Level
Please enter required field - Grade Level
Please enter required field - First Name
Please enter required field - Middle Name
Please enter required field - Last Name
Incorrect integer - Gender
Please enter required field - Gender
Incorrect date (mm/dd/yyyy) - Date Of Birth (mm/dd/yyyy)
Please enter required field - Date Of Birth (mm/dd/yyyy)
Incorrect field value - Is your child potty trained?

Please enter required field - Home Address
Please enter required field - Home City
Incorrect integer - Home State
Please enter required field - Home State
Incorrect ZIP code - Home Zip Code
Please enter required field - Home Zip Code

Please enter required field - Name
Incorrect integer - Student lives with Mother/Guardian #1
Please enter required field - Cell Phone
Please enter required field - Home Phone
Incorrect email - Email
Please enter required field - Email

Please enter required field - Name
Incorrect integer - Student lives with Father/Guardian #2
Incorrect email - Email

Incorrect phone number - Child’s Doctor Phone
Please enter required field - Food Allergies or Medical Conditions

Incorrect integer - Age
Incorrect integer - Age
Incorrect integer - Age

Please enter required field - #1 Name
Please enter required field - #1 Relationship
Incorrect integer - #1 Phone
Please enter required field - #1 Phone
Incorrect integer - #2 Phone

Incorrect integer - Does your child have a diagnosed disability?
Please enter required field - Does your child have a diagnosed disability?
Incorrect integer - Does your child need school bus transportation?
Please enter required field - Does your child need school bus transportation?
Incorrect integer - Is there financial need?
Please enter required field - Is there financial need?
Incorrect integer - Has your child been enrolled in any other school program?
Please enter required field - Has your child been enrolled in any other school program?
Incorrect field value - New York State law requires all public and private school students to be fully immunized within their first 14 school days of attendance. I agree to send my child's immunizations to TCA's school nurse upon my child's enrollment.
Please enter required field - New York State law requires all public and private school students to be fully immunized within their first 14 school days of attendance. I agree to send my child's immunizations to TCA's school nurse upon my child's enrollment.

Please enter required field - Birth Certificate or Passport

The Crescent Academy admits students of any race, color, national origin and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national origin, and ethnic origin in administration of its educational policies, admission policies, scholarship and load programs, and athletic and other school-administered programs.