2025-2026 Abiding Academy Application

STUDENT APPLICATION

Please select type of application:(Required)

New Student Application

Hope Coalition Student Application (All Hope students)

For K-12 applications, please email admissions@abidingacademy.org or contact Danielle Simons at 605-371-1876, option 3.

STUDENT INFORMATION

Student's Name(Required)

First Last

Preferred Name

Gender(Required)

Male

Female

Birth Date(Required)

Enter date as mm/dd/yyyy

2025-2026 Class Registration(Required)

Are you currently enrolled in Abiding Savior daycare/wrap around care?(Required)

For students attending Abiding Savior Daycare, placement for am/pm classes will be at the discretion of the Licensed Care Ministry Director.

Note that JK is only available in the AM.

Time(Required)

Potty-trained status(Required)

Student has previously attended:

Public School

Private School

Homeschool

PARENT OR GUARDIAN INFORMATION

Primary Contact One

Name(Required)

First Last

Relationship to Student(Required)

Mobile Phone(Required)

Email Address(Required)

Primary Address(Required)

Street Address Address Line 2 City State ZIP Code

Place of Employment

Work Phone

Primary Contact Two

Name

First Last

Relationship to Student

Mobile Phone

Email Address

Second Address

Address is different than Contact One

Address

Street Address Address Line 2 City State ZIP Code

Place of Employment

Work Phone

FAMILY INFORMATION

Child is living with:(Required)

Other living arrangements:

Are there any family situations we should be aware of?

Additional siblings not attending Abiding Savior Academy (names and ages):

Language spoken at home:

DEMOGRAPHIC INFORMATION AND RELIGIOUS BACKGROUND

What best describes your race/ethnicity? (Please select one)(Required)

Please specify other race/ethnicity(Required)

We are members or regularly attend Abiding Savior Free Lutheran Church.(Required)

Our family attends worship services at a local congregation.(Required)

What best describes your religious affiliation? (Please select one)(Required)

What best describes your church/religious affiliation? (Please select one)(Required)

Please specify other church/religious affiliation

I am interested in having an Abiding Savior Free Lutheran Church pastor contact me.

HEALTH INFORMATION

Please enter "none" for any fields that do not apply.

Enter any medical conditions your child has that we should be aware of:(Required)

List any allergies your child has:(Required)

List any prescribed medications your child is taking:(Required)

List any specific dietary requirements:(Required)

Family Doctor:(Required)

Family Doctor Phone:

Hospital Preference:(Required)

Other Hospital Preference:

REQUIRED DOCUMENTS

The following documents are required as part of your application. The application will not be considered complete until received via upload or submitted to the Abiding Academy office. Photo uploads will be accepted.

Upload Birth Certificate

Max. file size: 100 MB.

Upload Immunizations or Medical Release Waiver

Max. file size: 100 MB.

EMERGENCY CONTACT INFORMATION

The emergency contacts and other authorized personnel that you currently have on file in our database will be available for review at our fall open house.

EMERGENCY CONTACT INFORMATION

Emergency contact information in case a parent or guardian CANNOT be reached. If you have more than two contacts, please type them in the comments below. Please type only one contact name per line.

Emergency Contact One(Required)

First Last

Phone(Required)

Relationship(Required)

Emergency Contact Two

First Last

Phone

Relationship

AUTHORIZED DROP OFF/PICKUP CONTACT INFORMATION

List individuals authorized to pick up your child (other than the primary contacts). If you have more than two contacts, please type them in the comments below. Please type only one contact name per line.

Authorized Contact One

First Last

Phone

Relationship

Authorized Contact Two

First Last

Phone

Relationship

TUITION AND FEES

Abiding Savior Academy offers the option to pay tuition over a nine-month or twelve-month period. If you choose the twelve-month option, please note that payments for the 2025-2026 school year begin on June 1st. The twelve-month payment plan option is only available to kindergarten through twelfth grade students who register by April 30, 2025. Applications received after April 30, 2025 will follow the nine-month payment plan with payments beginning September 1st.

*Curriculum fees, along with any fees specific to a particular grade level (ie. technology fees (grades 4-12), graduation fees), will be applied to the appropriate student account at the beginning of the academic year.

Preschool and Junior Kindergarten students are only eligible for the nine-month payment option.

Please choose a payment plan option for this child:(Required)

9-month payments beginning September 1st

12-month payments beginning June 1st

Please utilize the comment section for questions regarding payment plans.

TRANSPORTATION

It is the responsibility of the student’s family to pick up and drop off their child while attending ASA Preschool. Limited transportation to and from ASA Preschool is under consideration for the 2025-2026 school year. To be considered for transportation, the following criteria must be met:

There must be a minimum of two or more students at the daycare attending the same ASA preschool class (example: two students accepted and enrolled in the ASA Preschool 3-year-old afternoon class)
The daycare provider of the students must be within the ASA transportation boundaries (18th Street on the north, Cliff Avenue on the west, 57th Street on the south, and Highway 11 on the east)
Transportation must originate and/or end at child’s daycare facility
Transportation is available for PM classes only

Space within the ASA Preschool van is limited and based on the number of car seats and boosters needed as well as staff availability. Determinations for transportation for 2025-2026 will be considered once applications have been processed and need is determined. In the event that transportation need exceeds van availability, time/date stamping of preschool application will be utilized to determine priority. Once finalized, cost for transportation ($30 for T/Th, $40 M/W/F) will be applied monthly to the child’s student account. Applicants meeting the criteria for transportation will be notified of current status of decision by June 30, 2025.

I meet the minimum requirements for transportation and would like to be considered for a 2025-2026 transportation route.(Required)

Yes

Name of Daycare

Name, address & phone number of daycare

REFERRAL

If you were referred to Abiding Savior Academy by a specific family, please enter their name here. New families referred to Abiding Savior Academy (Kindergarten through grade 12 only) and the referring family will receive one month’s tuition free for the child/student with the lowest tuition rate. No referrals are available for our preschool program. Please note that the referring family name must be included with the submission of this application and may not be added at a later time.

Referred By

CONSENTS

By checking the boxes below, as a parent or guardian, I hereby pledge:(Required)

That I have read the Abiding Savior Academy Statement of Faith, and I affirm and ascribe to its inclusion, influence, and application throughout the curriculum, classroom teaching, and training.

To support, uphold, and adhere to the policies of Abiding Savior Academy as listed in the Parent/Student Handbook.

To partner with Abiding Savior Academy by prioritizing communication, attendance, schoolwork standards, behavior management, and all other areas contributing to the education of my child.

I understand, by checking the boxes below, I hereby grant my permission and consent to the following:(Required)

For my child to use all the play equipment and to participate in all the activities of the Academy.

For my child to leave the school premises for school-related walks, excursions, or field trips under the supervision of staff members or designated volunteer parents.

For the teacher or acting teacher to take whatever steps necessary to obtain medical care as warranted.

For the emergency treatment of my child, if requested by Abiding Savior Academy, the authorized school provider for my child.

For my child's photo to be included in social media such as the Academy Facebook page, school presentations, advertising, Academy TV monitors, programs, etc.

I understand, even if I do not provide photo consent, my child will still participate in school presentations, concerts, or programs that may be recorded, live streamed, and publicly posted.

Comments:

Electronic Signature(Required)

By electronically signing this form, you are verifying the information within it to be correct and accurate with appropriate consents as indicated.

Are you filling out another application?(Required)

Yes

STUDENT APPLICATION

STUDENT INFORMATION

PARENT OR GUARDIAN INFORMATION

Primary Contact One

Primary Contact Two

FAMILY INFORMATION

DEMOGRAPHIC INFORMATION AND RELIGIOUS BACKGROUND

HEALTH INFORMATION

REQUIRED DOCUMENTS

EMERGENCY CONTACT INFORMATION

EMERGENCY CONTACT INFORMATION

AUTHORIZED DROP OFF/PICKUP CONTACT INFORMATION

TUITION AND FEES

TRANSPORTATION

REFERRAL

CONSENTS

Contact

MEMBERSHIP

Resources