CATHEDRAL CHRISTIAN ACADEMY RE-REGISTRATION APPLCIATION 2023-2024 SCHOOL YEAR
**PLEASE MAKE PAYMENT OF $125.00 BY JULY 12, 2023.
Student's Information
Child's Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date Picker Icon
Grade Entering in September 2023
*
Parental Information
Name
*
First Name
Last Name
Name
First Name
Last Name
Email Address
*
Email
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Submit
Should be Empty: