Christ The King Catholic School Registration Form

Christ the King Catholic School K-6 Registration Form
Student Information
Child's Name *

First Name Middle Name Last Name
Child's Date of Birth *

Month Day Year
Date
Child's Gender *

Male Female
Child's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number *
Please enter a valid phone number.
Student's Place of Birth *
Student's Religion *
Baptized on Date at Church in City/State
First Communion on Date at Church in City/State
I/We are registered member of Parish.
Father's Name *

First Name Last Name
Father's Address (fill if different from above)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Father's Employer *
Father's Phone Number *
Please enter a valid phone number.
Mother's Name *

First Name Last Name
Mother's Address (fill if different from above)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mother's Employer *
Mother's Phone Number *
Please enter a valid phone number.
Email Address *
example@example.com
Tuition for 2022-2023 School Year

First Child - $1,500 Second Child - $1,325 Additional Children - $650 each Preschool - $1,500 I'm interested in Education Scholarships available for grades K-6
PLEASE NOTE: The above information is requested in order to meet the individual needs of all students.
Signature of Parent or Guardian *

Clear
Today's Date *

Month Day Year
Date
Should be Empty:

Christ the King Catholic School K-6 Registration Form