Woodland Hills Christian Academy

Pre-Enrollment Request

Pre-Enrollment Request Form

When do you want to enroll your student(s)?*

Student’s Name (1)*

First

Last

Date of Birth (1)*

Day

/

Month

/

Year

Student’s Name (2)

First

Last

Date of Birth (2)

Day

/

Month

/

Year

Student’s Name (3)

First

Last

Date of Birth (3)

Day

/

Month

/

Year

Parent or Guardian’s Name*

First

Last

Parent or Guardian’s Phone Number*

Parent or Guardian’s Email*

Address*

Street Address City State Postal / Zip Code

Current School(s) Attending*

Additional Information