Skip Navigation

SMCA Online Inquiry

Thank you for your interest in South Merrimack Christian Academy.  Please fill out the form below and our Admissions Office will contact you in order to provide the information you desire. 

We encourage all potential applicants to contact the school office in order to schedule a tour and interview with the school administrator.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone
  • Home Phone *
  • How Did You Hear About Us?
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School

  • What program are you inquiring about?
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •