SGT Christian Academy - "Helping Kids Learn For Life"
Registration / Enrollment Online E-Application

COMPLETE ENROLLMENT APPLICATION
Child's Information: Full Name, Age and Birthdate
Mother / Guardian Name, Address, Phone Number
Mother / Guardian's Email Address:
Father / Guardian's Full Name, Address and Phone Number:
Father's Email Address:
Marital Status: Check One
Single
Married
Divorced
Separated
If divorced are there any custody issues?
Yes
No
If Yes, Explain __________________________________
Food Allergies: Please list any foods or liquids your child is allergic to:
Signing Child In and Out and Emergency Contacts: List names of person 18 and older authorized to pick up your child and call in case of any emergency. Please include address, phone number and relationship.
Signature
Date of Submission
Note: Pay your Registration / Enrollment Fee Here by clicking the Donate Button