~A Destination Christian Services, Inc. Educational Program
a

a

a

a

a

a

a

a

a

a

a

a

a

Destination Christian Academy Application Form:
Only the specified submission entities may apply on the student's behalf. Eligibility must be established before submitting the form below. Please check the "eligibility" page if you are unsure whether or not you qualify as a specified submission entity.  All fields below are required.

 

Category:
GROUP     SINGULAR    INDIVIDUAL

Name of submitter:

Name of submission entity:

Name and age of student(s) - Include full name, a comma, the age and a semi-colon for more than 1 student
ex: John Doe, 15; Jane Doe, 16

Submitter Address:

Submitter Area Code and Phone number:

Submitter E-mail:
ex: submitter@anywhere.com

I understand the Terms of Agreement and give my permission for the above named to participate in the Destination Christian Academy hosted by Destination Christian Services, Inc.

 

Online Payment

Mail-In Payment

Scholarship Request

© 2005 - Destination Christian Services, Inc. - Proprietary Information. All rights reserved. No portion of this website or its contents may be recreated, used or produced without corporate permission.