2021-22 Student Registration Form
Oakdale Christian Academy & Child Care Center
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Student Information
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Child's Name *
Grade *
Date of Birth *
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Child Sex *
Parent/Guardian Information
Mother's Name *
Address (Include City/State/Zip) *
Email Address *
Best Contact Phone # *
Place of Employment *
Work Phone # *
Father's Name *
Address (Include City/State/Zip) *
Best Contact Phone # *
Place of Employment *
Work Phone *
Who is the child's legal guardian? *
Person(s) Responsible for Tuition Payments *
Phone # (if different) *
Phone # (if different) *
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This form was created inside of Oakdale Christian Academy.