Name *

First Name

Last Name

Student Date of Birth *

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DD

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Parent/Guardian Information *

1st

First Name

Last Name

Phone *

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Parent/Guardian Information

2nd

First Name

Last Name

Phone

(###)

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Previous School Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Previous School Phone Number *

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone Number *

(###)

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Parental Consent and Agreement *

By signing below, I acknowledge and agree to the following: 1. Handbook Compliance: I have read and agree to uphold the policies outlined in the Calvary Christian Academy Handbook 2. Media Release: I grant permission for my child's photographs and videos to be used for school publications, websites, and promotional materials 3. Field Trip Consent & Liability Waiver: I give permission for my child to participate in school-sponsored field trips. I understand that all reasonable precautions will be taken, and I will not hold Calvary Christian Academy, its staff, or volunteers liable for any injuries or accidents that may occur during such trips.

First Name

Last Name

Date *

MM

DD

YYYY

By checking this box I recognize that my consent and agreement are given and that my typed name will be used as a legally binding signature by Calvary Christian Academy. *