Preview Day Registration – White Rock Christian Academy

Email

This field is for validation purposes and should be left unchanged.

Select a Preview Day(Required)

Parent 1 First Name(Required)

Parent 1 Last Name(Required)

Parent 1 Relationship to Student(Required)

Parent 1 Phone(Required)

Parent 1 Email(Required)

Parent 2 First Name

Parent 2 Last Name

Parent 2 Relationship to Student

Parent 2 Phone

Parent 2 Email

CHILD(REN) NAME(S) AND GRADE(S)

Please list the name(s) of your child(ren) and their grade(s) below.

Student 1 First Name(Required)

Student 1 Last Name(Required)

Student 1 Grade(Required)

In School Year(Required)

Student 2 First Name

Student 2 Last Name

Student 2 Grade

In School Year

Student 3 First Name

Student 3 Last Name

Student 3 Grade

In School Year

Student 4 First Name

Student 4 Last Name

Student 4 Grade

In School Year

ADDITIONAL DETAILS

Number of Adults Attending Preview Day:(Required)

Number of Students Attending Preview Day:(Required)