Lumen Christi School New Student Registration (2021-22 School Year)

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Please complete the following information to register your child for Lumen Christi Catholic School. Please use proper capitalization and abbreviations as this information is uploaded to our student database.

Увійдіть в обліковий запис Google, щоб зберегти надані відповіді. Докладніше

Електронна адреса *

Child's First Name *

Child's Last Name *

Child's Preferred Name

Grade Level (2021-22) *

Please check all that apply: *

I am only interested in a faith-based 3K education experience for my child.

I am only interested in a faith-based 4K education experience for my child.

I am interested in a faith-based education experience for my child through 8th grade.

Обов’язково

Is the family a member of Lumen Christi Parish? *

Yes

If you are a member of another parish, please provide the name.

Child's Street Address *

City *

State (abbreviation) *

Zip Code *

DOB *

ДД

ММ

РРРР

Gender *

Male

Female

Race (select all that apply) *

American Indian

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not Specified

Обов’язково

Ethnicity *

Hispanic or Latino

Not Hispanic or Latino

Place of Birth (City, State) *

If you were referred by another Lumen Christi family, please provide the family's last name.

Далі

Очистити форму

Ніколи не вказуйте паролі в Google Формах.

Цю форму створено в домені Lumen Christi School. Повідомити про порушення

Форми