Student Information
2018/19
Student Name (Last, First, MI) *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Gender *
Baptism Date (new students only)
MM
/
DD
/
YYYY
Resident School District *
Grade Entering *
Church Membership *
Ethnic Origin *
Who does this child live with? *
Sibling Information--Name/Gender/Birthdate (Please list siblings not attending Immanuel Lutheran School or write "none") *
Your answer
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