Skip Navigation

Request Information & Schedule a Visit


Thank you for your interest in South Shore Christian Academy!

Please fill out the form below. After you submit it, you will be invited to schedule a tour if you would like!

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:
  • Would you be interested in attending our upcoming Admissions Open House? 

    Yes   No
  • Please see information for our Open House

  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •