Christian Knights Academy

Student Enrollment Form

Basic Student Information

First Name:

Middle Name:

Last Name:

Date of Birth:

Age:

Gender:

Phone Number:

Address:

Email Address:

Grade Level Category:

Parent/Guardian Information

Full Name of Parent/Guardian:

Relationship to Student:

Address (if different from student):

Phone Number:

Email Address:

Occupation:

Emergency Contact Information

Full Name of Emergency Contact:

Relationship to Student:

Phone Number(s):

Address:

Upload Documents

Birth Certificate

Form 137 for incoming junior highschool

Others

Old Student

Account Information

Email Address:

Password:

Confirm Password:

Payment Information

Enrollment Payment Type:

Sibling PSA (10% Discount) if you have a sibling enrolled in this school gain 10% discount, submit psa for validation