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Request Information

Thank you for your interest in St John's Lutheran School!

Please fill out the form below, and our Admissions Office will contact you shortly to provide additional information regarding your request.

All students must be immunized. We do not accept Religious Exemption.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Gender
  • Work Phone *
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Gender
  • Work Phone *
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us?
    Details:

  • Father Employment:

  • Mother Employment:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
    Gender
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School

  • Reason for considering St. John's Lutheran School:

  • Church Membership and Interest:
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •