(Step2) PBA - Admissions Application

By filling this form out, you are requesting to enroll your student in Patuxent Baptist Academy's Umbrella School Program. Enrollment Fee is $75 due by July 31st. Please make checks payable to Patuxent Baptist Church, and write PBA in the memo. Please give payment directly to the PBA administrator. Thank you!
Parent/Guardian Information
 
 
Parent filling out form
 
 
 
Other parent
 
 
 
Primary Supervisor/Teacher
Who will be the primary supervisor/teacher for your home school program?
 
 
Student Information
 
 
Please select one option.
 
Student Information
 
 
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Student Information
 
 
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Additional students can be listed on a separate form. Link will be provided once this form is submitted.
Please select all that apply.
Please select all that apply.
Please select all that apply.
Home School Notification Acknowledgement
I hereby CERTIFY that I will be using correspondence courses under the supervision of a school or institution offering an educational program operated by a bona fide church organization under COMAR 13A.10.01.01 and .05 
 
School Schedule
Please select one option.
 
Please describe your YEAR ROUND or OTHER sechedule below. Give as much detail as possible. Start Date and End Date, cycle on which you take breaks, (3weeks on, one week off) etc. It will help the PBA administration a great deal to understand your school schedule in order to know when to paperwork should be processed in alignment with your schedule. Thank you!
 
 
 
 
Curriculum Description
 
 
 
 
Please select all that apply.
 
 
Application Agreement
I hereby CERTIFY that the information on this form is accurate and that if our homeschooling status changes at anytime, I will notify PBA administration promptly.
 
PBA Office Use Only
This area is for office use only. You may scroll to the bottom and submit this form. Thank you!
Enrollment Approval
Please select all that apply.
Please select one option.
Please select one option.
 
 
 
 
 
Portfolio Review & End of Year Forms
Please select all that apply.
 
Please select one option.
 
 
 
 
Graduation
Please select one option.
 
 
 
 
 
 

Description

By filling this form out, you are requesting to enroll your student in Patuxent Baptist Academy's Umbrella School Program. Enrollment Fee is $75 due by July 31st. Please make checks payable to Patuxent Baptist Church, and write PBA in the memo. Please give payment directly to the PBA administrator. Thank you!