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K-8 New Student Enrollment Application
St. John Lutheran School
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Student Information
Last Name
*
Your answer
First Name
*
Your answer
Middle Name
*
Your answer
Address
*
Your answer
Mailing Address (if different from physical)
Your answer
Enrolling in Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Gender
*
Male
Female
Ethnicity
*
Hispanic
Non-Hispanic
Race (check all that apply)
*
African American
American Indian, Alaska Native
Asian/Pacific Islander
Caucasian
Hispanic
Multi-ethnic
Required
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
Adopted?
*
Yes
No
Date of Baptism
*
MM
/
DD
/
YYYY
Church where baptized (Name, City, & State)
*
Your answer
Church Membership
*
Your answer
Denomination
*
Your answer
Last School Attended (City, State, & Grades)
*
Your answer
Martial status of parents
*
Married
Separated
Divorced
Not Married
Child resides with (check all that apply)
*
Both Parents
Mother
Father
Other
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