Admission Inquiry

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

 Parent/Guardian Information            


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Title

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Last Name

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First Name

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Phone

 Address                                               


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Address

Address 2

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City

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State

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Zip Code

 Student Information                           


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First Name

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Last Name

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Date of Birth

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Applying for Grade

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Gender

Male   Female
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Current School

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Current Grade


 

2nd Child First Name

2nd Child Last Name

2nd Child Date of Birth

2nd Child Applying for Grade

2nd Child Gender

Male   Female

2nd Child Current School

2nd Child Current Grade


 

Additional Children (please complete Name, Birthdate, Grade Applying For, Gender)

Additional Information                       


*

How did you hear about us?

Comments

* Email Address: