Application For Enrollment

Application For Enrollment
Students Name*

First NameLast Name
Student's Birthday*

MonthDayYear
Date
I am interested in enrolling in: (Please check all programs you are interested in.)*

KB AcademyKB Bridge Day Program (Academy program is required to select this option.)
What is your child's current grade level?*
Which academic year are you applying for?*

August 2024-May 2025 (Current academic year)August 2025-May 2026 (Next academic year)
Mother/Guardian Name*

First NameLast Name
Mother/Guardian: Cell Phone*
Please enter a valid phone number.
Mother/Guardian: Email*
example@example.com
Father/Guardian Name*

First NameLast Name
Father/Guardian: Cell Phone*
Please enter a valid phone number.
Father/Guardian: Email*
example@example.com
Whom should we send correspondence to:
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please tell us about your child's parent/guardian arrangement.*
For safety of the student, KBA requires both parents to fill out and agree to emergency contact and pickup persons. A form with those questions will be emailed to them.
I am*

FatherMother

How did you hear about KB Academy?*

WebsiteFacebookRadio AdFriend/FamilyA different schoolOther
Previous School Name*
Dates Attended*
School Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous School Phone Number*
Please enter a valid phone number.
Has your child ever been suspended or expelled from school for any reason?*
If yes, Please Explain:

Type of Curriculum: (USA Standardized, Classical, etc...)
Please list any organized activities that your child has participated in-such as swimming lessons, library groups, soccer, etc...*
What are your child's interests?*
Does your child have any fears or aversions?*

Has your child's educational program ever been modified for any of the following reasons?

BehavioralAcademicTalented
Does your child have an IEP, 504 Plan, Education Plan or Behavioral Plan? (current or not). We must have a copy of your child's evaluations on file before scheduling a Student Interview or enrolling in our program.
If yes, please explain:
Has your child ever been tested by a School District, Learning Specialist, Psychologist or Medical Doctor?*

NoYes
Please briefly explain results. (A copy of any evaluations/previous IEP or 504 is required to be kept on file.)
Other information you wish us to know:
Parent, please write a brief summary of your child's educational journey and how you feel Kinetic Bridges and it's program options would benefit your child/family. *
Student's (6th grade & up), please write a brief summary of your feelings about your education so far. How do you think a school that allows you the flexibility to learn in your own unique way would help your educational journey. (This should be your OWN words, we are not looking for perfection...we truly want to know how you feel and how we can help you!)*

Church Attendance
Do you attend church regularly? please type yes or no here*

If so, where do you attend? name of church.
Statement of Faith and Beliefs

Kinetic Bridges believes and unapologetically teaches that every person is a unique creation; loved by God. Therefore, we treat all people with respect, honor, compassion kindness, dignity, and love as modeled by Jesus Christ. At Kinetic Bridges, we believe in modeling and representing Jesus to the world. Therefore, hateful, harassing behaviors or attitudes directed toward any person or group, for any reason, are not in accordance with Scripture, nor the beliefs of Kinetic Bridges.

We desire to provide a Biblical model for students, families, and our community. To provide this model, we uphold the following statements of belief. All administration, teachers, and staff must fully subscribe to the following statements of belief. Although parents may not fully agree with each element of this statement, all teachers will unapologetically teach consistently with these beliefs, and man not teach in a way that contradicts these beliefs and may not teach in a way that contradicts these beliefs. At times, it may be necessary to discuss secular concepts at age-appropriate levels for students so they may learn how to defend their faith in a secular world.
- The Holy Bible/Scripture is the inspired Word of God. It is infallible, whole, and complete. The Holy Bible is fully sufficient to guide, rule, and instruct our lives and our walk of faith.
- Jesus Christ is the Son of God, born of a virgin birth as revealed in the New Testament. He is fully God, fully man, and infallible. He alone lived a perfect life, free of sin; thereby providing forgiveness and redemption to all mankind through His bodily death and bodily resurrection. Forgiveness is a free gift, unable to be bought or earned. It is freely given to all who seek the Lord's mercy, confess and forsake their sin, and enter a saving relationship with Jesus.
- All board members, staff, administrators, and teachers shall be dedicated Christians who seek the Lord, His will for their lives and have a vibrant, saving relationship with Jesus. Further, they will behave in accordance with the belief that they are a temple of the Holy Spirit.
- We believe Creation is a literal account as recorded in Genesis. God is the creator and sustainer of life; therefore all life is sacred upon creation. God is infallible and creates each individual as male or female according to His immutable purposes.
- "Marriage" only has one meaning. As Scripture indicates, marriage is the union of one man and one woman in an exclusive union. Marriage is a holy union, therefore sexual intimacy is to only occur between a man and a woman who are married to each other. Any intimate or sexual acts committed outside of marriage (including but not limited to adultery, fornication, homosexuality, bisexuality, bestiality, incest, rape, pedophilia, and use of pornography) is contrary to the teachings of the Bible. No sexual activities should be engaged in outside of marriage between a man and a woman.
These statements do not fully exhaust the extent of our beliefs. The Bible itself, as the inspired and infallible Word of God, is the sole and final source of all that we believe. For the purposes of K.B. Academy's function, practices, policies, and disciplines, the Board of Directors is considered the final interpretive authority. Staff are responsible for declaring differences with the Statement of Faith before terms of employment are finalized. Declarations of differences will be evaluated by the Board of Directors before employment is finalized.
K-6th Grade Statement of Compliance (Parent/Guardian): I understand my child must abide by the Kinetic Bridges Student/Parent Handbook and Statement of Faith and Beliefs in their entirety and have gone over these expectations with my child.
Parent/Guardian Signature*

Clear
7th - 12th Grade Statement of Compliance (Student): I blank (student) agree to abide by the Kinetic Bridges student/Parent Handbook and Statement of Faith and Beliefs in their entirety.
7th-12th Grade Student Signature

Clear
Parent/Guardian Signature*

Clear

Application & Enrollment Process Acknowledgement
KB Academy

1.) Tour our Facility and meet with the Directors.

2.) Complete this application and pay the non-refundable application fee (If applicable, provide documentation of IEP, 504 Plan, Psychological exams, etc...)

3.) Complete the Student Interview

4.) Student Interview Review with the Director of Education or Principal

5.) Complete the enrollment contract and pay the enrollment fee

(This must be completed to reserve your child's spot.)

6.) Pay the Curriculum fee and begin paying tuition at the next scheduled billing cycle.
Mother/Guardian Signature*

Clear
Father/Guardian Signature*

Clear
Kinetic Bridges does not discriminate against students or families with respect to race, creed, ancestry, marital status, gender, sexual orientation, age, physical disability, political service or affiliation, color, or national origin. For Federal racial composition reporting purposes, please indicate your child's race and ethnicity.*

CaucasianAfrican AmericanAsianNative AmericanPacific IslanderOther
Acknowledgment of Nondiscrimination

Kinetic Bridges does not discriminate against students or families with respect to race, creed, ancestry, marital status, gender, sexual orientation, age, physical disability, political service or affiliation, color, religion, or national origin.

Kinetic Bridges is unapologetically a Christian-based organization and our officers, directors, committee members, employees, and volunteers may fully proclaim the Gospel as written in the Holy Bible. We believe all humans are created equal and all are worthy of love, honor, and respect.
Mother/Guardian Signature Acknowledging the Nondiscrimination Statement*

Clear
Father/Guardian Signature Acknowledging the Nondiscrimination Statement*

Clear

My Products*

KB Academy Application Fee Product Image

KB Academy Application Fee** Please note; this fee is non-refundable.

$150.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Application For Enrollment

Application & Enrollment Process Acknowledgement