Admission Inquiry

Thank you for expressing interest in Grace Lutheran School.  Please complete the form below to obtain more information about our school.

Website Enrollment Inquiry for Grace Lutheran School:


Parent/Guardian Information

1.
*

Title:

Mr.
Mrs.
Ms.
Dr.
2.
*

First Name:

3.
*

Last Name:


Mailing Information

4.
*

Address:

5.
*

Address 2:

6.
*

City:

7.
*

State:

8.
*

Zip Code:


Student Information

9.
*

First Name:

10.
*

Last Name:

11.
*

Date of Birth:

12.
*

Gender:

Male   Female
13.
*

Applying for Grade:

14.
*

Which school year do you wish to enroll in?


               
15.

2nd Child First Name:

16.

2nd Child Last Name:

17.

2nd Child Date of Birth:

18.

2nd Child Gender:

Male   Female
19.

2nd Child Applying for Grade:

20.

Additional Children (please complete Name, Date of Birth, Grade Applying For, Gender)


Additional Information

21.
*

How did you hear about us?

22.

Comments:

23.
*

Enter your Email Address:

24.
*

Best Phone Number to reach you: