Inquiry Form

Thank you for your interest in Kootenay Christian Academy. To help us meet your needs, please fill in the following information:

Date: *

Parent / Guardian Name: *

Child's Name: *

Grade Requested for Enrolment: *

Year of Requested Enrolment (Month/Year): *

ADDITIONAL CHILDREN:

Child's Name:

Grade:

Child's Name:

Grade:

Child's Name:

Grade:

Home / Cell Number: *

Email: *

Referred By:

I would like to: *

Register my child(ren)

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