Application for Enrollment 2021-2022
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 *
Middle Name *
Last Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Preschool Options [ 3K - Must be 3 by Sept. 1 and toilet trained] [4K must be 4 by Sept. 1] *
Will you need before school or after school care? *
Required
Residence
Address *
City *
Zip Code *
Residence of Child *
GUARDIAN INFORMATION
Father
First Name *
Last Name *
Phone (include area code)
Email Address
Mother
First Name *
Last Name *
Phone (include area code)
Email
Siblings
Name and age of siblings
Home Church
Identify your home church. Write "none" if you do not have a home church *
Does your family attend church regularly *
Are you interested in attending a class to explore membership at St. Paul's?
Clear selection
Does your child have any special needs of which we should be aware? Describe.
Submit
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