NEW STUDENT APPLICATION
Please complete the form below. The Board of Education will review the application and office personnel will contact you of confirmation. Additional information will be requested upon approval. Thank you.
Christ the Lord Lutheran School
1650 N Brookfield Rd
Brookfield WI 53045
STUDENT INFORMATION
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Previous school attended *
Grade in Fall *
Gender *
Required
GUARDIAN INFORMATION
Mother
First Name *
Your answer
Last Name *
Your answer
Phone (include area code) *
Your answer
Email Address *
Your answer
Father
First Name *
Your answer
Last Name *
Your answer
Phone (include area code) *
Your answer
Email *
Your answer
Residence
Address *
Your answer
City *
Required
State *
Required
Zip Code *
Your answer
Home Church
*
Submit
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