Chill & Thrill Application Form | Christ the King Academy

Registration Form - please fill out once per child

Your Name:

Your Phone Number:

Your Email Address:

Your relationship to the child:

Second adult's name:

Second adult's phone number:

Second adult's email address:

First and last name of the child:

Child's gender:

Child's current grade at school:

Child's date of birth:

Allergies?

Medications:

Behavioural challenges:

Preferred Date:

Preferred Time

Additional information: