Registration Form
Email address *
Student's Full Legal Name *
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Student's Nickname
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Grade *
Date of Birth *
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DD
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YYYY
Birthplace (City & State, or other Country) *
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Has the student been baptized? *
If so, when and where was the baptism?
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Place of church membership
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Address *
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Who does the child live with? *
Required
Name of Father (or guardian) *
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Father's e-mail address
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Father's birthplace
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Father's citizenship
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Father's religious affiliation
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Father's occupation
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Father's work phone
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Father's cell phone
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Name of Mother (or guardian) *
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Mother's e-mail address
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Mother's birthplace
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Mother's citizenship
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Mother's religious affiliation
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Mother's occupation
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Mother's work phone
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Mother's cell phone
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Names and ages of siblings in the home
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Person to notify in case of an emergency, if unable to reach parents (name, phone number, relation to child) *
Your answer
Another person to notify in case of an emergency, if unable to reach parents (name, phone number, relation to child)
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Please list those who have permission to pick your child up from school
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Name of last school attended
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Why have you chosen College Park Christian Academy? *
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I understand that completing this form does not guarantee enrollment. Registration requires both the registration form and registration fee of $275. This is a first step to the enrollment process. The office will contact you to provide any additional forms or to request documents that may be needed prior to the start of the school year. *
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