New Enrollment Application

For your convenience you can now start the enrollment application process here. Please fill out the form below and hit the submit button and one of our administrators will review your application. Once your application has been reviewed we will contact you to let you know if your child/children have been accepted and if any other information is needed. Once you are accepted arrangements will be made to collect enrollment fees.

New Enrollment Application

* Indicates required field

Student's Name *

First

Last

Additional Student *

First

Last

Grade to Enter *

Additional Student *

First

Last

Additional Student *

First

Last

Grade to Enter *

Father's Name *

Phone Number *

Work Number *

Father's Employer *

Mother's Name *

Phone Number *

Work Number *

Mother's Employer *

Father's Email *

Child's/Children's Primary Residence *

Both Parents Mother Father Other

Please Specify if Other *

Person(s) Authorized to pick up Child (Other than Parents/Guardians) *

School Attended Last Year *

City/State of Previous school *

Previous School Phone Number *

Church you Attend *

Mother's Email *

Primary Contact *

Father Mother

Emergency Contact (other than Parents/ Guardian) *

Emergency Contact Number *

Physician's Name *

Physician's Phone Number *

Health Problems (if any) *

Submit