School Registration

Register for enrollment

Complete the form below to apply for school enrollment at Mt. Pilgrim Christian Academy. A member of our team will follow up with you.

MPCA

Est. K–6 · Fairfield, AL

Parent / Guardian Information

Full name *

Phone number *

Email address *

Home address *

Student full name *

Date of birth *

Grade level applying for *

Previous school attended

Please upload clear copies of the following documents. Accepted formats: PDF or image (JPEG, PNG, WebP, HEIC), up to 10 MB each.

Parent / guardian driver's license *

A photo or scan of a valid government-issued driver's license.

Drop file here or browse

PDF or image, up to 10 MB

Student birth certificate *

Official birth certificate for the enrolling student.

Drop file here or browse

PDF or image, up to 10 MB

Emergency contact name *

Emergency contact phone *

Medical conditions or allergies

Additional notes or questions

Fields marked with * are required.