STUDENT REGISTRATION
Please complete a registration form for each child attending Veritas.
Campus Attending
STUDENT NAME
Full Name
Your answer
Grade to enter
Gender
Date of Birth
MM
/
DD
/
YYYY
FAMILY INFORMATION
Parent/ Guardian Name
Your answer
Siblings at Veritas
Your answer
Street Address
Your answer
Home or Cell Phone
Your answer
Email
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
SIGN AND SUBMIT
To sign the registration form please write the name of the parent completing the form along with today's date. Afterwards please review the application before submitting.
Name of Parent Completing Form
Your answer
Today's Date
MM
/
DD
/
YYYY
Submit
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