2019-2020 Returning Students Yearly Data Update Please submit one Yearly Data Update for each child. Fields with an ( * ) are required to be filled.Student's Name* First Middle Last Student's Current Grade and Homeroom Teacher*K3- Miss Regoice RefilongK3 - Miss Sierra CokerK4 - Miss Bethany ReaK4 - Mrs. Martha TaitanoK4 - Mrs. Trish SchallhornK5 - Miss Alyssa LevyK5 - Mrs. Dacia PrinsK5 - Miss Megan Bashore1st - Miss Kari Peterson1st - Miss Miranda Royston1st - Miss Rachel Cochran2nd - Miss Hope Baugus2nd - Miss Lauren Morgan2nd - Miss Patty Clodfelter3rd - Miss Jennifer Brunson3rd - Miss Jacqueline Smith3rd - Miss Shannon Lovmo4th - Miss Debbie Staley4th - Miss Lisa Oakley4th - Miss Laura Stevens5th - Miss Eden Fleck5th - Miss Laura Calhoun5th - Mrs. Rachel Macapinlac6th - Miss Allison Burak6th - Mr. Jeff Fain6th - Miss Kristen Lloyd7th - Miss Bethany Nething7th - Mr. Judson Morris7th - Miss Kelly Nupson8th - Miss Emilee Hansel8th - Mr. Bryce Collier8th - Mrs. Ruth Anne Giese9th - Miss Amanda Todd9th - Mr. Daniel Gibbons9th - Mrs. Megan Morris10th - Miss Ashley McNally10th - Mr. Jonathan Marshall10th - Mr. Travis Belyus11th - Mr. Brandon Pegarido11th - Miss Holly Novak12th - Miss Lindsay Hashberger12th - Mr. Kendrick InfanteParent's Name* First Last Parent's Email Address* PHOTO RELEASE Photographs are taken regularly around campus. These images often feature students in our internal communications to HCA families (e.g., weekly newsletters). However, if you do not wish to have your child’s photo used in outside communications (e.g., published media including but not limited to newspaper articles, HCA brochures, Harvest Ministries websites and social media accounts, published class photos and Athletic Team photos), please indicate below: Please indicate whether or not you give HCA permission to use any pictures of your child for outside communication.*YesNo YEARBOOK ORDER The 2019-2020 school yearbook will cost $75. If you would like to purchase one, please indicate your choice of payment plan:*Please bill me $70 on my August 2019 statement (save $5).Please bill me in three installments of $25 each, beginning January 2020.I do not wish to purchase a yearbook for my child. RADIO DONATION (OPTIONAL) Harvest Family Radio provides a service and source of enjoyment for our island families. Please indicate if you would like to contribute a gift on a monthly basis beginning with the August statement:*YesNoPlease indicate a monthly amount if "Yes" is selected. ACKNOWLEDGEMENT I understand that I am responsible for all costs (tuition, fees, cafeteria, bookstore, etc.) incurred while my child is enrolled at Harvest Christian Academy. I understand that the Re-enrollment Fee, Textbook Fee, and miscellaneous fees are non-refundable. In addition, if my child should withdraw or be dismissed from school for any reason, I understand that a Withdrawal Fee will be charged along with applicable tuition charges. As a parent/guardian, I agree to support the Administration of Harvest Christian Academy; however, should I feel that I can no longer support the Administration, I will promptly withdraw my child. Upon withdrawal of my child, all fees and tuition will be due. To my knowledge, all information is complete and correct.
