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Christ The King School

3401 Tidewater Drive
Norfolk, VA 23509
Telephone: 757-625-4951

www.ctkparish.org

(* Indicated responses are required)
(NOTE: A Primary Email Address is required in order to process this form )

   
For Grade * Grades K-8

Student Information
First Name *
Middle Name
Last Name *
Childs Sex


 
Street Address *
City *
State * Zip Code *
 
Home Phone * 123-456-7890
Birthdate * (mm/dd/yyyy)
 
Student's Ethnic Origin * If Other:
     
Language(s) in the home (please indicate if spoken, read, or written) *
     
For grades 6-8:
How many years of Spanish instruction has your child received?		  
     
Is the student transfering from another school?  
School:
 
Location (City, St): 
 
Years Attended: 
 
     
Has your child received special education or special services? Please describe.
     
Religion *  
Parish  
 

Family Information
Mother
Father
       
First Name * First Name *
Last Name * Last Name *
       
Occupation * Occupation *
       
Same Address as Student Same Address as Student
Address * Address *
City * City *
State * State *
Zip Code * Zip Code *
       
Home Phone *
123-456-7890
Home Phone *
Work Phone *
123-456-7890		 Work Phone *
Cell Phone
123-456-7890		 Cell Phone
Email Email
       
Religion * Religion *
Parish Parish
       
Marital Status * Marital Status *
   
 
Student Resides With: *  If Other: 
   
Tuition Responsibility: *  If Other: 
   
Primary Email Address:*
   
Brothers & Sisters : *
   
Are you active in Church ministries? Please describe.
   

Reception of Sacrament
Baptism *
 
Date: (mm/dd/yyyy)
Church
Location
Holy Eucharist *
 
Date: (mm/dd/yyyy)
Church
Location
Reconciliation *
 
Date: (mm/dd/yyyy)
Church
Location
   
Notice of Non-Discriminatory Policy:

Christ the King Catholic School admits students of any race, sex, color, and national or ethnic origin to all the rights, privileges, programs and activities generally accorded or made available to students at the school.

We do not discriminate on the basis of race, sex, color, and national or ethnic origin in the administration of our educational policies, admissions policies, employment policies, scholarship and loan programs, athletic and other school-administered programs.
I have read and understand the Christ the King Catholic School Notice of Non-Discriminatory Policy

If you have any problems or comments with this form, please email webmaster@ctkparish.org