Knights Academy Registration Form
2020-2021 School Year
Email address *
Student Name: *
One Child per form please.
Student Grade for the 20-21 school year: *
Home Address: *
Home Telephone Number: *
Mother's Name and Work/Cell Number: *
Father's Name and Work/Cell Number: *
EMERGENCY CONTACTS: Please include Two(2) contacts and their NAME/HOME NUMBER/WORK OR CELL NUMBER.
If school is dismissed early due to weather or any other circumstances, parents will be called. If parents cannot be reached by phone, your emergency contact will be called.
My Child is on restricted pickup: *
(This pertains to students with custody situations only. Otherwise, we always use the student check-in/check-out card you filled out. We never release a student to anyone other than their parents/guardians without written permission from parents/guardians.) We will use your child's check-in/check-out card to verify identity.
Special instructions: (Allergies, Dietary Requirements, Medical issues, etc.) *
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