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School Registration
HOPE CHRISTIAN ACADEMY

"BE A LIGHT FOR ALL TO SEE"
Additional documents for registration

Please fill out this registration form and then drop off the following documentation to the school office.

• Original Certified Birth Certificate
• Original MCP Card (or proof of insurance)
Student Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Gender
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade Entering
Has your child previously applied to or attended Hope Christian Academy?
If yes, what year?
Previous School Attended
Please Enter N/A if Not Applicable
Primary Contact/Residence Information

This person will be the main contact for all correspondence.
Parent/Guardian Name

First NameLast Name
Relationship to Student
Mother/Father/Legal Guardian
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Lives With Child

Secondary Contact
Parent/Guardian

First NameLast Name
Relationship To Student
Mother/Father/Legal Guardian
Phone Number

Area CodePhone Number
Email
example@example.com
Lives With Child
Emergency Contact

When Parents or Legal Guardians are not available.
Name

First NameLast Name
Phone Number

Area CodePhone Number
Relationship to Student
Grandparent/Friend/Etc...
Email
example@example.com
Medical Information
MCP Number
MCP Expiry Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please list any of the following: Current medications, Uses an EpiPen, Medication allergies, Food allergies, Chronic health concerns.
Please Enter N/A if Not Applicable

Secondary Contact