New Enrollment Application 2018-2019
Entering Grade *
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Last Grade Completed *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Male/Female *
Child's Name (Last, First) *
Your answer
Address *
Your answer
City & Zip Code *
Your answer
Home Phone *
Your answer
Church Affiliation *
Your answer
Trinity Lutheran Church Member *
Required
Parents are: *
Parent(s) Living with Child (Mother) *
Your answer
Occupation *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Parent(s) Living with Child (Father) *
Your answer
Occupation *
Your answer
Work Phone *
Your answer
Cell Phone *
Your answer
Email Address *
Your answer
Parent(s) Not Living with Child (Mother)
Your answer
Occupation
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
Parent(s) Not Living with Child (Father)
Your answer
Occupation
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email Address
Your answer
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