KILGORE ACADEMY, INC.

2026-2027 Community Academy Enrollment Request Form

WELCOME

Welcome to KAI Community Academy!

Community Academy is a 30-week Tuesday program designed for homeschool families who want excellent instruction, enrichment, Bible, and community while remaining in control of their homeschool education.

Community Academy begins September 22, 2026.

Complete this form to register your child for the full Tuesday program or individual Community Academy classes.

Please complete one student registration per child.

May God richly bless your family.

In Jesus Christ,

Stephanie Kilgore, Administrator

COMMUNITY ACADEMY ENROLLMENT

Student Information

Prefix

First Name *

Middle Name

Last Name

Select Grade *

Date of Birth *

Parent/Guardian Information

Parent/Guardian Name *

Relationship to Student *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Phone *

Email Address *

Parent/Guardian Name #2

Relationship to Student

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal code

Country

Phone

Email Address

Enrollment Choice

Community Academy Enrollment Selection

Choose how you would like your child to participate in Community Academy. Families may enroll in the Full Tuesday Program or select individual/partial-day classes.

How would you like to enroll your child? *Full Tuesday Program 8:30 A.M. - 3:00 P.M.Individual/Partial Day Classes

Individual Class Selection

Class Choices

Please select the classes in which you would like to enroll your child. Please select only classes offered for your child’s grade level.

Early LearningPre-K-K Phonics & NumbersPreK-K Storytime & Literature

Early LearningGrade 1-2 Reading, Spelling and Number FoundationsGrades 1-2 Storytime & Literature

IEW WritingGrades 3-5 IEWGrades 6-8 IEWGrades 9-12 IEW

Critical ThinkingElementary Critical ThinkingMiddle School Critical ThinkingHigh School Critical Thinking

EntrepreneurshipUpper Elementary EntrepreneurshipMiddle School EntrepreneurshipHigh School Entrepreneurship

BibleBible-All Grades

Family Partnership Option

Community Academy families may participate as a Participating Family or a Drop-Off Family. Please select the option your family will use.

Select Your Family Participation Option: *Participating Family - An approved adult serves in a Community Academy support role and completes required orientation and background screening.Drop-off Family - Our family chooses the drop off option without a regular service assignment.

Participating Adult Information

Please identify the adult who will fulfill your family’s Community Academy participation requirement.

Participating Adult's Full Name *

Participating Adult's Phone Number *

Select *

Background Screening

Participating adults must complete KAI’s required orientation and background screening before serving in a Community Academy support role.

Consent and Ackonwledgement *I understand that the participating adult must complete KAI’s required orientation and background screening before serving.

Emergency Contact

Please provide an emergency contact other than the student’s parent/guardian whenever possible.

Emergency Contact Name *

Relationship to Student *

Emergency Contact Phone *

Alternate Phone

Health & Safety Information

Student Health & Safety Information

Please provide information KAI needs to safely care for your child while participating in Community Academy.

Does your child have any allergies, including food allergies? *NoYes

Please describe all allergies, reactions, and necessary precautions. *

Does your child have any medical conditions, medications, or other health information KAI should know while your child is on campus? *NoYes

Please provide the relevant medical information and instructions. *

Does your child have any learning needs, accommodations, behavioral needs, or other information that would help KAI appropriately support your child? *NoYes

Please explain how we can best support your child. *

Authorized Pickup

Please list individuals, in addition to the parent/guardian(s) listed above, who are authorized to pick up your child.

Authorized Person #1

Relationship to Student

Phone

Authorized Person #2

Relationship to Student

Phone

Authorized Person #3

Relationship to Student

Phone

Community Academy/Homeschool Acknowledgement

KAI Community Academy is a Christian, co-op-style Tuesday program for homeschool families. Community Academy is separate from KAI’s private Hybrid School. Parents remain responsible for their child’s overall homeschool education.

Consent and Ackonwledgement *I understand that Community Academy participation is not enrollment in KAI’s Hybrid School and that I remain responsible for my child’s overall homeschool education.

Christian Program Acknowledgment

KAI Community Academy operates under Kilgore Academy’s Christian mission. Prayer and Bible instruction are part of the program, and families are expected to respect KAI’s Christian environment and standards while participating.

Consent and Ackonwledgement *I understand and agree to respect KAI’s Christian environment and standards while my family participates in Community Academy.

Community Academy Dress Standard

Community Academy students do not wear the KAI Hybrid School uniform. Clothing should be neat, modest and appropriately covering, safe for activities, and suitable for a Christian educational environment.

Consent and Ackonwledgement *I have read and agree to the Community Academy dress standard.

Indemnification

Community Academy operates at facilities made available to Kilgore Academy, Inc. by Calvary Christian Center. KAI is an independent nonprofit organization and is responsible for the administration, staffing, supervision, curriculum, policies, and operation of Community Academy. Calvary Christian Center's provision of facilities does not make the church the operator of Community Academy.

RESPECT FOR THE HOST CHURCH & PROPERTY

Students, parents, staff, volunteers, and visitors must treat Calvary Christian Center, its pastors, staff, members, guests, building, grounds, furnishings, equipment, and property respectfully.

Participants must remain in areas authorized for KAI use; follow instructions concerning classrooms, gym, restrooms, hallways, offices, kitchen, sanctuary, parking areas, and other spaces; and may not enter restricted areas without permission and appropriate supervision.

Church property may not be borrowed, moved, consumed, altered, or used without authorization. This includes musical instruments, sound or audiovisual equipment, computers, office supplies, ministry materials, food, decorations, athletic equipment, and personal property belonging to church staff or members.

Students and families should immediately report accidental damage. Intentional, reckless, or negligent damage may result in discipline and, to the extent permitted by law and applicable agreements, responsibility for repair or replacement.

Questions or disagreements concerning facility requirements should be directed to KAI administration rather than argued with church personnel.

ASSUMPTION OF ORDINARY ACTIVITY RISKS

Parents/guardians acknowledge that Community Academy includes ordinary educational, recreational, physical education, gym, recess, and movement activities and that participation may involve ordinary risks of accidental injury. Students are expected to follow safety instructions and participate within their abilities. Parents must inform KAI of restrictions or circumstances KAI reasonably needs to know for safe participation.

HOST CHURCH RELEASE & INDEMNIFICATION

To the fullest extent permitted by applicable law, the parent/legal guardian agrees that participation in Community Academy is voluntary and agrees to be responsible for claims, damages, losses, or expenses caused by the intentional, reckless, negligent, or wrongful acts of the parent/guardian, student, or persons attending at the family's invitation.

To the fullest extent permitted by applicable law, the parent/legal guardian agrees to release, defend, indemnify, and hold harmless Calvary Christian Center and its pastors, officers, employees, representatives, and agents from third-party claims, liabilities, damages, losses, or expenses arising from the student's participation in KAI Community Academy or use of the host facility, except to the extent resulting from the gross negligence, reckless misconduct, or intentional misconduct of the party seeking protection.

Nothing in this provision is intended to waive a right that cannot legally be waived or to require indemnification or release where prohibited by law. KAI remains responsible for the operation and supervision of its Community Academy program.

Lunch

Students bring lunch from home unless KAI announces another arrangement. All-School Bible begins at 11:30 AM and Community Lunch begins at noon.

Attendance & Conduct

Consistent attendance helps students receive the full benefit of their registered classes. Parents should notify KAI of absences. Students are expected to follow teacher instructions, treat others respectfully, participate appropriately, and care for the facility and school property.

KAI reserves the right to address behavioral or safety concerns and may discontinue a student’s participation when necessary.

Consent and Ackonwledgement *I have read and agree to the Community Academy attendance and student conduct expectations.Option 2

Emergency Medical Authorization

In the event of illness, injury, or emergency, I authorize KAI personnel to contact me and/or the emergency contacts provided above. If I cannot be reached and immediate medical attention is reasonably necessary, I authorize KAI to contact emergency medical services. I understand that I remain responsible for costs associated with my child’s medical treatment or emergency transportation.

Consent and Ackonwledgement *I have read and authorize the emergency procedures described above.Option 2

Media Permission

Photo/Video Permission *YES — I give KAI permission to photograph/video my child and use appropriate images in KAI communications, website, social media, promotional materials, and publications.NO — Please do not photograph/video my child for KAI media use.

Tuition & Financial Agreement

Tuition & Payment

Tuition is based on the enrollment option, classes selected, and family participation status. KAI will confirm your student’s final tuition and payment schedule after reviewing this registration.

By enrolling, I understand that I am financially responsible for the tuition and applicable fees associated with my child’s confirmed enrollment. I understand that tuition obligations, payment due dates, withdrawal provisions, and any applicable refund terms will be governed by KAI’s Community Academy tuition policies.

Individual Classes

CLASS	8 INSTALLMENTS	30-WEEK PROGRAM
IEW Writing (Grades 3–12)	$15	$120
Art	$15	$120
Physical Education	$15	$120
Critical Thinking	$15	$120
Entrepreneurship	$15	$120

Individual-class pricing is per student. Class availability and times vary by age group.

Full Tuesday Community Academy

FULL-DAY OPTION	8 INSTALLMENTS	30-WEEK PROGRAM
First Child	$65	$520
Additional Child	$55	$440

Full Tuesday: 8:30 AM–3:00 PM. The full-day option includes the student's age-appropriate Tuesday programming, including Bible and Community Lunch time.

Family Participation Options

FAMILY OPTION	8 INSTALLMENTS	30-WEEK PROGRAM
Participating Family Fee	$25	$200
Drop-Off Family Fee	$50	$400

Family fees are charged per family—not per child. Participating adults serve in an approved Community Academy support role and complete required orientation and background screening. Participating families are responsible for the cost of the required background check.

Preferred Payment OptionPay in FullMonthly Payments

Consent and Ackonwledgement *I understand that KAI will provide my family’s final tuition amount based on the enrollment selections in this registration. My child’s enrollment will be finalized after I receive and accept the tuition amount and payment terms.Option 2

Final Enrollment Agreement

By submitting this registration, I certify that the information provided is accurate to the best of my knowledge. I understand the Community Academy program structure, my selected enrollment and participation options, and the policies and acknowledgments contained in this registration.

Consent and Ackonwledgement *I certify that the information provided is accurate and agree to the KAI Community Academy registration terms above.

Guardian Name *

Date *