2021-2022 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 - Mrs. Jessica BasalduaK4 - Mrs. Martha TaitanoK4 - Miss Bethany ReaK5 - Mrs. Trish SchallhornK5 - Mrs. Brittany SchnoorK5 - Miss Rosana Sipppa1st - Mrs. Kari Baugus1st - Mrs. Vanessa Cross1st - Miss Miranda Royston2nd - Miss Hope Baugus2nd - Miss Patty Clodfelter2nd - Miss Lauren Morgan3rd - Miss Jennifer Brunson3rd - Miss Kristen Dongon3rd - Mrs. Hannah Mullins4th - Miss Laura Jano4th - Miss Lisa Oakley4th - Miss Debbie Staley5th - Miss Eden Fleck5th - Mrs. Rachel Macapinlac5th - Miss Bethany Nething6th - Miss Allison Burak6th - Miss Tiffany Blum6th - Miss Kristen Lloyd7th - Miss Jenna DeLoach7th - Miss Aurea Sapigao7th - Miss Kelly Nupson8th - Miss Emilee Hansel8th - Mr. Megan Morris8th - Mr. James Cross9th - Mr. Brandon Pegarido9th - Miss Stephanie Jensen9th - Mr. T. Judson Morris10th - Miss Lindsay Hashberger10th - Miss Janae Jorgenson10th - Miss Holly Novak11th - Mr. Travis Belyus11th - Mr. Kendrick Infante11th - Miss Amanda Todd12th - Mr. Daniel Gibbons12th - Miss Ashley McNallyParent/Guardian's Name* First Last Parent/Guardian'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.* Yes No YEARBOOK ORDER The 2021-2022 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 2021 statement (save $5). Please bill me in three installments of $25 each, beginning January 2022. 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:* Yes No Please 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.