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ENROLL
APPOINTMENT
Appointment
Appointment Form
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Purpose of Appointment
Preferred Date (DD/MM/YYYY)
Preferred Time
Morning
Afternoon
Evening
Duration (Approximation if known)
applicable) (DD/MM/YYYY) Student
Full Name
First
Last
Phone Number
Email Address
Residential Address
Residential Address 2
Organization/Company (if applicable)
Relationship to Student (if applicable)
Parent
Guardian
Vendor
Other
Student’s Full Name (if applicable)
Grade/Class
Reason for Appointment (related to student)
Do you require any special assistance
Yes
No
If yes, please specify
Will additional guests accompany you
Yes
No
If yes, how many
Consent & Agreement
I understand that appointments are subject to availability and confirmation by Regcos Christian Academy.
I agree to arrive on time and notify the academy in case of rescheduling or cancellation.
Submit Appointment Form
