Application for Enrollment
Please complete the form below. The Board of Education will review the application and office personnel will contact you with confirmation. Additional information will be requested upon approval. Thank you.
Email address *
St. Paul's Lutheran School
311 14th Avenue South
Wisconsin Rapids, WI 54495
STUDENT INFORMATION
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Grade in Fall *
Previous school attended *
Your answer
Home or Primary Phone (include area code) *
Your answer
Residence
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Residence of Child *
GUARDIAN INFORMATION
Father
First Name *
Your answer
Last Name *
Your answer
Phone (include area code)
Your answer
Email Address
Your answer
Mother
First Name *
Your answer
Last Name *
Your answer
Phone (include area code)
Your answer
Email
Your answer
Siblings
Name and age of siblings
Your answer
Home Church
Identify your home church. Write "none" if you do not have a home church *
Your answer
Does your family attend church regularly *
Are you interested in attending a class to explore membership at St. Paul's?
I will need financial assistance to attend St. Paul's *
Does your child have any special needs of which we should be aware? Describe.
Your answer
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