TRINITY LUTHERAN CHRISTIAN SCHOOL

APPLICATION FOR ENROLLMENT

2015-2016

Families with students enrolled in Trinity Lutheran Christian School will have priority for next year’s enrollment.  New students enrolling must contact the office for an interview.  A non-refundable Application Fee ($75) must accompany this application.  Please answer each question completely.

                                                                DATE: ______________________

Student’s Last Name: ______________________ First: ___________________ Middle: ______________

Goes By: ______________________ S. S. # ____________________ DOB: _______________________

Age: ________ Baptism Birthday: __________ Name of Church student attends: ____________________

*Church Affiliation (ex. Lutheran, Catholic, Baptist): _______________________________

Enrollment in Grade Level: ________ if Pre-Kindergarten – AM or PM (circle one)  Sex: Male or Female

*Public School Attendance Area: __________________________ (closest Public School: ex. Avondale)

PARENT #1 Last Name: ____________________ Title: Mr., Mrs., Ms., Dr. – First Name:_____________

Address: _____________________ Home Phone: ____________ City: ________County: _____________

Zip Code: ________ S.S. #_____________________ Place of Employment: ________________________

E-mail Address: ______________________________________

Occupation: ________________ Work Phone: __________

Please Circle:         Married,  Divorced,  Separated,  Single                Lives with Student:   Yes or No

Relationship to Student:  (Please Circle)   Mother, Father, Guardian, Grandparent        

Name of Church you attend: ______________________ Are you a member of the Church?   Yes or No

Church Affiliation if different from child’s:_________________________  

PARENT #2 Last Name: ____________________ Title: Mr., Mrs., Ms., Dr. – First Name: ____________

Address:_____________________ Home Phone: ____________ City: __________County: ____________

Zip Code: ________ S.S. #_____________________ Place of Employment: ________________________

E-Mail Address: ________________________________________

Occupation: ________________ Work Phone: __________

Please Circle: Married, Divorced,  Separated,  Single                 Lives with Student:   Yes or No

Relationship to Student:  (Please Circle)   Mother, Father, Guardian, Grandparent        

Name of Church you attend: ______________________ Are you a member of the Church?   Yes or No

Church Affiliation if different from child’s:_________________________  

Why do you want your child to attend Trinity Lutheran Christian School?

How did you discover Trinity:        Word of mouth: _____ Newspaper _____ Mailed Brochure _____

Website/Facebook____ Billboard ____ Other (describe) _______________________________________

Who Recommended Trinity if by word of mouth? _____________________________________________

Trinity Lutheran Christian School admits students of any race, color, or national or ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school.  If does not discriminate on the basis of race, color, or national or ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, and athletic and other school administered programs.

Parent/Guardian Commitment & Pledge

As a parent interested in Christian Education, it is my sincere promise, with the help of God, to adhere to the following:

_________________________                        _________________________

            Father’s Signature                                            Mother’s Signature                                        

_________________________                        _________________________

                Date                                                           Date