registration | SCA

WELCOME TO 2021 – 2022 STUDENT PRE-REGISTRATION FORM!

This form is just to place you on our waiting list for the next year and has to be completed for every student.

Today's date*
MM slash DD slash YYYY
Student's Full Name*
First Last
Gender*
- Male
- Female
Current grade the student is in*
Grade to be registered for*
Date of birth*
MM slash DD slash YYYY
Student's age on September 10th*
Address*
Street Address Address Line 2 City State ZIP Code
Mother's Full Name*
First Last
Cell phone number*
Email*
Father's Full Name
First Last
Cell phone number
Email
Signature*