Tour Information
Christ Lutheran School
Parent Name
*
First Name
Last Name
Spouse or 2nd Parent Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Occupation of Parent 1
*
Occupation of Parent 2
Have you been referred to Christ Lutheran School by either Gentry or SARRC for the Connections Program?
*
Please Select
Yes
No
Child's Name and Grade Interested in
*
Name
Grade Interest in
Child's date of birth and age
*
Date of birth (mm/mm/yyyy)
Current Age
School student currently attends:
*
2nd Child's Name and Grade Interested in, if needed
Name
Grade Interest in
2nd Child's date of birth and age, if needed
Date of birth (mm/dd/yyyy)
Current Age
School student currently attends:
3rd Child's Name and Grade Interested in, if needed
Name
Grade Interest in
3rd Child's date of birth and age, if needed
Date of birth (mm/dd/yyyy)
Current Age
School student currently attends:
4th Child's Name and Grade Interested in, if needed
Name
Grade Interest in
4th Child's date of birth and age, if needed
Date of birth (mm/dd/yyyy)
Current Age
School student currently attends:
If you are interested in Preschool for your child, please select below
Please Select
Monday through Friday-full day
Monday through Friday-half day
Monday, Wednesday, Friday-full day
Monday, Wednesday, Friday-half day
Tuesday, Thursday-full day
Tuesday, Thursday-half day
Please list Christ Lutheran School Families you may know
*
Are there any learning challenges or medications your child(ren) may have?
*
Interests of your student(s) example: music, sports, drama computers
Will your child(ren) need before care, after care?
*
Please Select
Yes, before care
Yes, after care
Yes, both
No
Religious affiliation or church currently attending
*
Do you foresee a need for financial assistance?
Please press the submit button below.
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