Lumen Christi School New Student Registration (2021-22 School Year)
Please complete the following information to register your child for Lumen Christi Catholic School. Please use proper capitalization and abbreviations as this information is uploaded to our student database.
Email *
Child's First Name *
Child's Last Name *
Child's Preferred Name
Grade Level (2021-22) *
Please check all that apply: *
Required
Is the family a member of Lumen Christi Parish? *
If you are a member of another parish, please provide the name.
Child's Street Address *
City *
State (abbreviation) *
Zip Code *
DOB *
MM
/
DD
/
YYYY
Gender *
Race (select all that apply) *
Required
Ethnicity *
Place of Birth (City, State) *
If you were referred by another Lumen Christi family, please provide the family's last name.
Next
Never submit passwords through Google Forms.
This form was created inside of Lumen Christi School. Report Abuse