Click here for first time enrollment. Re-Enrollment Send registration and payment with this form! We will begin sending our new quarters on July 1st. If you are planning to be away during a certain period of time, and do not want your curriculum to arrive while you are away please call 309-663-4477 and let us know! --- We wish to re-enroll our student(s) in Midwest Christian Academy. We would like to have our curriculum by (month) and (day) We would like to start our school year by (month) and (day) --- Parent's name Mailing address Mailing city Mailing state Mailing zip --- Home phone Work phone Email Daytime phone --- Student 1 full name Student 1 grade Registration $50.00 --- Student 2 full name Student 2 grade Registration $50.00 --- Student 3 full name Student 3 grade Registration $50.00 --- Student 4 full name Student 4 grade Registration $50.00 --- Re-Enrollment Agreement I am responsible for the payment of all fees for this account. I understand the registration fee is non-refundable and is to be paid each school year beginning July 1st. My student will be supervised during study time by a parent or responsible adult who will not allow the student to copy answers from the score keys. I agreed to follow the procedures time in the Parent/Supervisor Training Booklet. I will keep all tests and test keys in a secure place inaccessible to the student. I will grade the tests and return properly at the end of each quarter. --- Signature of Parent/Guardian Date If you are paying annually, specify the number of quarters you want to have sent at the beginning of the year. 4 quarters 2 quarters 1 quarter Include Registration & Tuition Fee for each student. For current prices see the Registration and Fees page.