Christ the King
Catholic School

503-785-2411
7414 SE Michael Drive
Milwaukie, OR 97222
Fax Number 503-794-9607

New Student Application

- Admissions

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- Student Information
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Date of Birth (MM/DD/YYYY) REQUIRED Please fill out this field. Please enter a date.
  
  Gender REQUIRED Please fill out this field.
  
  Religion REQUIRED Please fill out this field. Please enter valid data.
  
  What parish or church do you attend? REQUIRED Please fill out this field. Please enter valid data.
  
  Student lives with REQUIRED Please fill out this field.
  
  Applying to Grade in 2017-2018 REQUIRED Please fill out this field.
- Mother's Information
  
  Relationship REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number (Work) Please enter a phone number.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Father's Information
  
  Relationship REQUIRED Please fill out this field.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number (Cell) REQUIRED Please fill out this field. Please enter a phone number.
  
  Employer REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number (Work) Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
- Previous School Information
  
  School Name REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Fax # REQUIRED Please fill out this field. Please enter valid data.
  
  Reason for Transfer REQUIRED Please fill out this field. Please enter valid data.
  
  Briefly explain why you are interested in having your child attend Christ the King School. REQUIRED Please fill out this field.
  
  Does your child have any special gifts, needs or circumstances of which you would like to make us aware? For example, has your child ever been evaluated for a learning disability or identified as talented and gifted? REQUIRED Please fill out this field.
  
  How did you hear about Christ the King School? Current Family Print Advertising Website Facebook Parish Bulletin Other
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