Saturday Academy Registration Form

Saturday Academy Registration

Welcome to the enrollment process for the Saturday Academy Literacy Program at Ekklesia Global Worship Assembly! Please fill out this form to secure a spot for your child in our program designed for grades 4-8. Your responses will help us better prepare for a successful literacy journey together.
Student's Information
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*

Area CodePhone Number
E-mail*
Emergency Information
Emergency Contact's Name (if applicable)

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Does your child have any food allergies, chronic illness, or medical conditions? If yes, please describe.*
Orientation

We require all parents/guardians to attend a mandatory orientation during the first session on January 6, 2025. We will email you the details once you complete this form. The orientation will provide valuable information about the program structure, expectations, and how you can support your child’s literacy development.
Informed Consent and Acknowledgement

By signing below, I confirm that the information provided on this form is accurate and complete. I understand the requirement of attending a parent orientation session and commit to supporting my child’s participation in the Saturday Academy Literacy Program.
Signature

Clear
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Should be Empty:

Saturday Academy Registration

Orientation