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

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

PROGRAMS WE OFFER Adult Diploma Program Description here More Details 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

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Supply Lists At Zarephath Academy, we understand the importance of being prepared for the school year. That's why we provide supply lists for our elementary, middle, and high school students. Our school supply list includes essential items such as pencils, erasers, crayons, and essential supplies needed for planned grade lessons and activities. These supplies will help our young learners stay organized and focused throughout the school year Below are links to the essential supplies that each level of learner will need: 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 K-12 Supply Lists Kindergarten Supply List 2nd Grade Supply List 4th Grade Supply List Middle School Supply List 1st Grade Supply List 3rd Grade Supply List 5th Grade Supply List High School Supply List

Academics Zarephath Academy emphasizes the importance of academic excellence. The school provides a rigorous curriculum that challenges students to think critically and develop their problem-solving skills. The school's faculty is highly qualified and dedicated to helping students reach their full potential. By emphasizing academic excellence, Zarephath Academy prepares students for success in college and beyond. Social Studies Our Social Studies curriculum is designed to help students understand the world around them and their place in it.. Science Our Science curriculum is focused on fostering a love of learning and curiosity about the natural world. Math We believe that math is more than just numbers and formulas - it's a way of thinking. Language Arts We strive to develop students' communication skills and appreciation of literature. Art We believe that art is an essential component of a well-rounded education Physical Education Students learn the importance of teamwork, sportsmanship, and perseverance through a variety of activties. 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

OUR STUDENTS At Zarephath Academy, we place a high value on our students and their growth and development. We believe that every student has the potential to succeed and thrive, and we are committed to providing them with a comprehensive educational experience that goes beyond academics. Clubs & Activities Zarephath Academy offers a variety of extracurricular activities including but not limited to: Football Boys Basketball Girls Basketball Dance Career Development​ Please reach out to the front desk at (904)-632-1355 or athelics@zarephath.com for more information your for registration Career Development Students become more motivated, self-driven learners when they understand the relationship between academics, career and education planning and achieving their own career goals. Our career development program allows students to discover who they are, what they like to do and what they do best.​ 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

2023 - 2024 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! 2023 - 2024 Calendar 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