CKCA 22/23 Student Registration

Registration Instructions

Please complete the following registration form to ensure the CKCA office has the most current contact information for your student(s).
 
A small change has been made where you can now complete (1) online student registration form for up to 3 students! Select "Do you have 2 (or 3) students attending CKCA?" at the end of completing Child # 1 information, and an additional section will appear to complete for another student.
 
If any of the parent contact or emergency contact information is different from student to student, then you would need to complete separate student registration forms. 
 
Please note, this student registration form is the only form out of the 4 online forms that you can complete for more than 1 student! The additional 3 forms (financial, student forms and medical) will need to be completed for each student individually.

Child #1 Information

CKCA Student Enrollment *
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If going into Kindergarten:

Child #2 Information

CKCA Student Enrollment #2 *
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If going into Kindergarten: #2

Child #3 Information

CKCA Student Enrollment #3 *
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If going into Kindergarten: #3

Mother/Guardian Information

Father/Guardian Information

Emergency Contacts

Please list names of persons in close proximity to the school to whom we may release your child or contact if you cannot be reached. No student will be released to anyone other than the parents, guardians, adults listed without additional consent.

Emergency Contact #1

Relationship to Child *
 

Emergency Contact #2

Relationship to Child *
 

Emergency Contact #3 (Optional)

Relationship to Child
 

Referral

If you are new to CKCA, how did you hear about us? *
 

Student Handbook & Discipline Agreement

We have read the student handbook in its entirety and agree to follow the guidelines and expectations as parents/guardians and as a student of Central Kansas Christian Academy. Also, we acknowledge the rules and procedures of the Central Kansas Christian Academy Discipline Plan. We agree to the terms given and acknowledge the consequences that will occur when inappropriate behavior is displayed. Central Kansas Christian Academy does not and shall not discriminate on the basis of race, color, religion, gender (male or female, according to biological status at birth), age, national origin (ancestry), disability, marital status, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. *
Signature of parent/guardian completing form *
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