Fill, print, and return

Student Application 2026/2027

Complete one application for each student, then print it or save it as a PDF for delivery to Mayflower Christian Academy.

Your information stays on this device: This application does not transmit or store anything you enter. When finished, select Print or Save as PDF, then return the printed application to the school in person or by mail. Do not email medical or other sensitive student information.

Fillable student application

Complete the fields below on your device. When finished, use the button at the bottom to open your browser’s print dialog. Choose a printer for a paper copy or choose Save as PDF for a high-quality digital copy. If you have questions, contact [email protected].

Student enrollment information

Previous school information

Provide information for the previous school attended so MCA may contact the school to request records.

Documents to provide, as applicable

Emergency contact

Health and medical information

This information is requested in case of emergency and may need to be provided to medical professionals.

FAMIS is a state and federally funded health insurance program for children who do not qualify for Children’s Medicaid and do not have private health insurance. For information or to apply, call 855‑242‑8282, visit Cover Virginia, or contact your local Department of Social Services office.

Does the student have dental insurance?

Medical conditions and allergies

Check each condition that applies to this student.

Student’s family information
Mission, vision, faith, and family commitments

Our Mission

Educate young hearts and minds to impact their communities and the world for Jesus Christ.

Vision

We see our school raising up a generation of leaders that love God and are called according to His purpose (Romans 8:28). School should not be about passing a test or even getting a diploma. Education is about preparation to make a difference in the world around us through the pursuit of one’s passions and gifting. God has made each of us unique; we are fearfully and wonderfully made (Psalm 139:14). Therefore, the path of learning should be about mentoring individual students to detect and pursue God’s specific will for him or her.

Read Mayflower’s Statement of Faith.

Non-Discrimination Policy

Mayflower Christian Academy admits students of any race, color, nationality, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, nationality, and ethnic origin in administration of its educational policies, admissions policies, or any school-administered programs.

Required acknowledgments

Parent Commitment Policy

MCA partners closely with parents and guardians and depends on the support of its families. For each statement, select agree or disagree. Provide an explanation when unable to agree.

To the extent possible, absences will be kept to a minimum.
It is important for the parent or guardian to train the children to come to class prepared with all necessary materials and assignments.
Every effort will be made to arrive on time for each class day, since late arrivals disrupt the class and disadvantage the student because he/she misses instruction time.
Parents or guardians will set aside an adequate amount of time for their child to complete assignments and will be available to assist the child as needed.
Parents or guardians accept the responsibility of partnering with the child's on-campus teachers.
Parents or guardians understand that MCA receives most of its financial support from tuition and fees, and agree to pay all tuition and fees in a timely manner.
Parents or guardians agree that signing and submitting this application indicates a financial commitment.
Parents or guardians will be supportive of the on-campus teachers, MCA administrators, MCA staff, and the policies of MCA.
Parents or guardians will refrain from gossip about the school, its employees, or policies. Such behavior is destructive to the school and is not reflective of the culture we seek to build.
I agree to be a co-teacher for my child and to fulfill all related responsibilities to the best of my abilities.
I take this commitment seriously and understand that it will require time and energy.
I agree to review all home assignments after my child has completed them.
I agree to help my child to the best of my ability if he/she is having academic difficulties.
I agree to cooperate with my child's on-campus teacher(s) so my child has a positive educational experience.
I agree to discuss differences in philosophy or expectations with the classroom teacher in a positive and professional manner.
I will provide support and assistance as required to help my child complete daily assignments, projects, and special assignments, but will not “do the work” or complete such assignments.
I understand and agree to the MCA Refund Policy which states: All fees and tuition are non-refundable.
Tuition and fees outline

Tuition for the 2026/2027 school year is $4,700 before discounts or tuition assistance.

New siblings who are seeking enrollment should complete the student application and plan to be interviewed.

Annual cost by grade level
Grade levelTuitionCurriculum feeTotal
Kindergarten through 5th grade$4,700$250$4,950
Middle school, 6th through 8th grades$4,700$350$5,050
High school, 9th through 12th grades$4,700$450$5,150

Additional discounts and scholarships available per student

  • Second student in the same family unit: $200 discount.
  • Third student in the same family unit: $400 discount.
  • Paying tuition upfront in full: $200 discount.

Curriculum fee: Middle- and high-school curriculum fees are split into two payments. All families make an initial $250 payment in July before the academic year. The balance is paid in January at the beginning of the spring semester.

Refund policy: All fees and tuition are non-refundable, including the application fee, curriculum fee, and tuition payments.

Scholarship policy: As scholarship funds are limited, and MCA often subsidizes these with private donations, it is vital that parents/guardians understand there is a required 90% attendance policy for all students receiving a Scholarship of any amount. Availability of grants and scholarships is not known currently, but MCA does expect to receive funds to distribute for tuition assistance.

Select a payment preference
Tuition payment schedule
Payment periodCurriculum feePay in full upfront10-month payment plan
July$250 per student$4,500 (includes discount)
August–December$470 per month
January$100 middle school; $200 high school
February–June$470 per month
Application confirmation

Complete the form in its entirety and return it in person or by mail to Mayflower Christian Academy, PO Box 961, Pulaski, VA 24301.

We understand and agree to support MCA’s Statement of Faith and all MCA policies and to pay all tuition and fees in a timely manner. We understand that signing this document confirms a financial commitment as a family.

Your browser’s print window will let you choose a printer or save the completed application as a PDF.