FCA Student Registration Update Form
Frontline Christian Academy, Inc.
202 Maharlika Highway, Brgy. San Francisco,
San Pablo City, Laguna, Phil. 4000
(049) 521-0732 / 0926-363-9722 / 0908-202-0749



This registration update form is an official document. It must be accurate and complete.

Before a student can be enrolled in this school, this form must be completed in its entirety and signed by the parent or guardian.

This form is used to re-enroll a student who was already enrolled at FCA the previous school year. This form is also used to record important changes to information that has been previously submitted.

All information entered in this form is for school use only and is strictly confidential. No part of this document may be disclosed in any manner to a third party without the prior written consent of the person filling this out.
Email address *
Grade (Incoming) *
Date of Enrollment *
MM
/
DD
/
YYYY
STUDENT INFORMATION
Enter the student’s legal surname (last name) and given names below. These are the names on the student’s birth certificate or adoption papers. A student cannot be registered without a copy of a legal document that provides proof of legal name and age.
Student’s Legal Surname: *
Your answer
Student’s Legal First Name: *
Your answer
Student’s Legal Middle Name(s): *
Your answer
INFORMATION TO BE UPDATED
This amends information previously submitted in the Student Registration & Enrollment Form. For official changes such as names, guardian/parent names, official documents must be submitted. For medical concerns, acknowledgments/certifications from concerned doctors/pediatricians must be submitted.
NO CHANGES ARE TO BE MADE:
PLEASE CHANGE THE FOLLOWING INFORMATION (1):
(1) Add or Update?
(1) Replace With
Your answer
PLEASE CHANGE THE FOLLOWING INFORMATION (2):
(2) Add or Update?
(2) Replace With
Your answer
PLEASE CHANGE THE FOLLOWING INFORMATION (3):
(3) Add or Update
(3) Replace With
Your answer
PAYMENT SCHEME
Please check the appropriate box: *
DECLARATION BY PARENT OR GUARDIAN
I hereby pledge to settle all my financial obligations as they are due, and understand that not doing so may result in additional penalties and fees. I pledge to uphold the high academic standard of the school, and do my best to provide a safe, conducive, learning environment for my child at home, and to assist my child with whatever work he or she may need help with. I promise to support the school’s activities and exercises, and diligently perform the duties of a responsible parent/guardian.I also further certify that all the information I have give is true, correct, and complete. *
PRINTED NAME OF PARENT/GUARDIAN *
This serves as your electronic signature.
Your answer
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Frontline Christian Academy.