“Quality Education in the LIGHT of God’s Word”

Enrollment Form – K4

Enrollment Form K – 4

Days Registering(Required)
Monday – Friday – $3500 Annual
Monday, Wednesday, Friday – $2100 Annual

Student Information

Student's Full Legal Name(Required)
Home Address(Required)

Biological/Adoptive Information

Father's Legal Name(Required)
Applicant Lives With(Required)

Mother's Legal Name(Required)
Applicant Lives With(Required)

Step-Parent, Guardian Information if Applicable

Name
Applicant Lives With(Required)

Name
Applicant Lives With(Required)