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Questionnaire

Support the development of a Catholic Secondary School for the South Surrey and regional area.

If you are interested in your children attending a Catholic Secondary School for South Surrey and regional area, please fill in the following updated questionnaire. If you have previously filled out a form, please fill out again and we will ensure that it is not duplicated.




Parents Names (required)

Address

Father’s Details:

Occupation:
Phone Number:
Email (required):

Mother’s Details:

Occupation:
Phone Number:
Email:

How many children do you have?

Children 1:

Name:

Birthdate & Grade:

Presently attending a Catholic School ?  Yes No

Name of current school:

Children 2:

Name:

Birthdate & Grade:

Presently attending a Catholic School ?  Yes No

Name of current school:

Children 3:

Name:

Birthdate & Grade:

Presently attending a Catholic School ?  Yes No

Name of current school:

Are you interested in attending additional meetings regarding the development of a Catholic Secondary School?

 Yes No

Do you wish to receive email updates regarding the progress of the South Surrey Catholic Academy? (required)

 Yes No


If you wish more information regarding the development of a Catholic Secondary School please contact:

Troy Van Vliet – 604.263.3026



Registration Form Download:
Questionnaire