ECS Student Interest Form
Thank you for your interest in Eugene Christian School!
Please fill out this brief form and we will be in touch with additional information, and we'll do our best to answer any questions you might have about ECS. For immediate information regarding tuition and programming, please visit our Admissions page at
If you have any difficulties in filling out this interest form, please contact me, Jesse Whiteaker, Dean of Students and Admissions by e-mail or phone.
All of God's grace,
-- Eugene Christian School Staff
Developing Kingdom Leaders
Student First Name
Parent / Guardian Name(s)
Student Last Name
Student Date of Birth
School year of interest
Grade (For interested school year)
Pre-School (3 year old, TuTh)
Pre-School (4 year old, MWF)
Pre-school (4 year old, 5 days / week)
K (all day)
Parent / Guardian Phone Number
Parent / Guardian Phone E-Mail
Resident Zip Code
(If different from home address.)
Current School Attending
How did you hear about Eugene Christian School?
Family / Friend
Internet Search / Website
Take a tour of ECS!
Tours are being scheduled on a rolling basis. Indicate a few days and times that will work for you.
How can we help? List any other comments or questions.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service