Contact – White Rock Christian Academy

Parent #1 First Name*

Parent #1 Last Name*

Parent #2 First Name (if applicable)

Parent #2 Last Name (if applicable)

Please list full name(s) and grade(s) of child(ren) in Sept 2023:*

Street Address*

City / Province / Postal Code*

Parent Email #1*

Parent Email #2 (if applicable)

Primary Phone*

Number of Adults Attending Tour:*

Number of Children Attending Tour:*

Student Status - Will you require International Student(s) application(s)?*

How did you hear about our school?*

(Select all that apply)

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