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Thank you for your interest in Canton Academy! 

Please fill out the form below and our Admissions Office will contact you and provide you with the information you need.

"With a bold vision for the future, Canton Academy exists to nurture hearts and challenge minds in a Christian environment" - Canton Academy Mission Statement

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  • Parent / Guardian Information
  • *First Parent / Guardian
  • Salutation *
    First Name *
    Middle Name *
    Last Name *
  • Email Address *
    Gender *
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
    Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
  • Salutation
    First Name
    Middle Name
    Last Name
  • Email Address
    Gender *
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
    Cell Phone
    (Ex: 999-999-9999)
  • Home Phone *
    (Ex: 999-999-9999)
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  •  
  • Student 1
  • First Name *
    Middle Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Interests
  • Current School
  • How did you hear about our school? *
  •  
  • Is There Another Student? Yes No
  •  
  • Parent / Guardian Notes
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