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 eugenechristianschool.com/admissions.

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.

jwhiteaker@eugenechristianschool.com
(541) 686-9145

All of God's grace,

-- Eugene Christian School Staff
Developing Kingdom Leaders
Student First Name *
Your answer
Parent / Guardian Name(s) *
Your answer
Student Last Name *
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
School year of interest *
Grade (For interested school year) *
Parent / Guardian Phone Number *
Your answer
Parent / Guardian Phone E-Mail *
Your answer
Resident City *
Your answer
Resident Zip Code *
Your answer
Home Address *
Your answer
Mailing Address
(If different from home address.)
Your answer
Current School Attending *
Your answer
How did you hear about Eugene Christian School?
Take a tour of ECS!
Tours are being scheduled on a rolling basis. Indicate a few days and times that will work for you.
Your answer
How can we help? List any other comments or questions.
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