Application FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Date *Parent/Guardian Name *FirstLastEmail *Phone *Residency *Canadian CitizenPermanent Resident or Landed ImmigrantRefugee or Refugee ClaimantStudy PermitWork PermitWhat campus are you inquiring about? *Sullivan CampusCloverdale CampusWhat school year are you inquiring about? *2024-20252025-2026How did you hear about us?FriendWebsiteFacebookInstagramChurchAffiliate OrganizationOtherWhy are you considering Regent Christian Academy? *Do you attend a local church? *YesNoWhat is the name of the church you attend? *How long have you attended this church? *NextHow many children are you applying for? *123#1 Child Name *FirstLast#1 Child Grade Level *KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Does this child receive learning support? *YesNoIf yes, what type of support does your child receive? *IEP (Individual Education Plan)Learning PlanAnnual Instruction Plan (ELL)Behaviour or Safety PlanBehaviour Consultant or InterventionSpeech Language PathologistPhysical or Occupational Therapy#2 Child NameFirstLast#2 Child Grade LevelKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Does this child receive learning support?YesNoIf yes, what type of support does your child receive? *IEP (Individual Education Plan)Learning PlanAnnual Instruction Plan (ELL)Behaviour or Safety PlanBehaviour Consultant or InterventionSpeech Language PathologistPhysical or Occupational TherapyLiteracy Pull Out#3 Child NameFirstLast#3 Child Grade LevelKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Does this child receive learning support?YesNoIf yes, what type of support does your child receive? *IEP (Individual Education Plan)Learning PlanAnnual Instruction Plan (ELL)Behaviour or Safety PlanBehaviour Consultant or InterventionSpeech Language PathologistPhysical or Occupational TherapyLiteracy Pull OutNextI have reviewed the intake policy and am looking to apply as:1st Intake - Siblings of Regent Christian Academy Students2nd Intake - Members of Horizon Church or Hillside Church3rd Intake - Members of Horizon Childcare or Hillside Early Learning4th Intake - Members of the evangelical Christian community who attend a local church and support our Statement of Faith and standards of Christian living.5th Intake - Others within the community who support our Statement of Faith and demonstrate adherence to our standards of Christian living.Submit
