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.
*

First Name:

2.
*

Last Name:


Mailing Information

3.
Address:
4.
Address 2:
5.
City:
6.
State:
7.
Zip Code:

Student Information

8.
*

First Name:

9.
*

Last Name:

10.
*

Date of Birth:

11.
*

Gender:

Male   Female
12.
*

Applying for Grade:

13.
* Which school year do you wish to enroll in?

               
14.

2nd Child First Name:

15.

2nd Child Last Name:

16.

2nd Child Date of Birth:

17.

2nd Child Gender:

Male   Female
18.

2nd Child Applying for Grade:

19.

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


Additional Information

20.
* How did you hear about us?
21.

Comments:

22.
* Enter your Email Address:
23.
* Best Phone Number to reach you: