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Request Information

Thank you for your interest in our school!

Please fill out the form below and our Admission's Office will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone *
  • How Did You Hear About Us? *
    Details:

  • Are you inquiring in the 2024/25 school enrollment?
    Yes   No

  • Are you inquiring about the 2024 Summer Camp program?
    Yes   No

  • Why do you want your child to attend a Christian School?
    *

  • Do you attend church in the area and if so, where?
    *

  • Who is the Pastor at your local church? 
    *

  • Have you read our statement of faith located on our school website and agree with our beliefs? 
    * Yes   No

  • Have you ever been suspended from school? If so, please explain. 
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Extra Curricular Activities
  • Current School
    Other:
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •