2021-2022 Christ the King Home School Program Application
If you wish to register your child for the 2021-2022 school year, please fill out this application. Please refer to our online handbook to select the appropriate proficiency level for your child. We have limited openings for the next school year.
Email *
Today’s Date *
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Please share with us why you desire to register your child/children in the Christ the King Home School Program: *
How Many Students Are Applying? *
Name of Student (You will be able to add additional students as needed.) *
Date of Birth *
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Applying for Proficiency Level (Please refer to the program's Online Handbook to assist in selecting your child's proficiency level.): *
Custodial Parent/Guardian 1 *
Relation to Child *
Preferred Email Contact *
Address *
Home Phone Number *
Occupation *
Employer *
Custodial Parent/Guardian 2 (if applicable)
Relation to Child
Preferred Email Contact
Address
Home Phone Number
Occupation
Employer
Name of Student Number 2 (if applicable)
Date of Birth
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YYYY
Applying for Proficiency Level (Please refer to the program's Online Handbook to assist in selecting your child's proficiency level.):
Name of Student Number 3 (if applicable)
Date of Birth
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DD
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YYYY
Applying for Proficiency Level (Please refer to the program's Online Handbook to assist in selecting your child's proficiency level.):
Name of Student Number 4 (if applicable)
Date of Birth
MM
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DD
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YYYY
Applying for Proficiency Level (Please refer to the program's Online Handbook to assist in selecting your child's proficiency level.):
By clicking “submit”, I/We affirm that I/we have included all the relevant and necessary information that may affect this student’s educational performance and progress. I/We understand that this information will be reviewed to ascertain Christ the King Home Schooling's ability to appropriately meet the educational needs of this student. Further, I/we understand and accept that falsification, deception, or omission in any aspect of the application process may result in an immediate review and possible revocation of admission. I understand that once this application has been received, I will be contacted by a person on our admissions team.
A copy of your responses will be emailed to the address you provided.
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