Wildcat Wednesday - HOMESCHOOL PARTNERSHIP Community Lutheran School Student Registration Form 

Tuition: $250 per student per semester.

Registration due by August 1, 2023.

First come, first serve to register in order to limit class sizes.

Enrollment confirmation will be sent via email when registration is complete.

“Community Lutheran School exists to provide a Christian environment for a quality education while inspiring students to go forth living Christ-centered lives as witnesses of the one true faith in God’s Kingdom.”

Non-Discrimination Policy:  Community Lutheran School admits students of any race, color, national and ethnic origin to all rights, privileges, programs, and activities generally accorded or made available to students at the school.  It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, and athletic and other school-administrated programs.   


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Child's Full Name (Student 1) *
Student 1 gender *
Student 1 birthdate *
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Student 1 baptismal date
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Student 1 grade entering *
Child's full name (student 2)
Student 2 gender
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Student 2 birthdate
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Student 2 baptismal date
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Student 2 grade entering
Child's full name (student 3)
Student 3 gender
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Student 3 birthdate
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Student 3 baptismal date
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Student 3 grade entering
Child's full name (Student 4)
Student 4 gender
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Student 4 birthdate
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Student 4 baptismal date
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Student 4 grade entering
Father/Guardian Full Name *
Father's Phone Number *
Father's Work Phone
Father's Email *
Mother/Guardian Full Name *
Mother's Phone Number *
Mother's Work Phone
Mother's Email  *
Home Phone Number
Home Mailing Address *

I authorize CLS to contact the following person when parent or guardian can not be reached during an emergency. Provide name, relationship to child and phone number below.   

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I give permission for my child(ren) to leave CLS with the people listed below. Please list adults you might ask to pick up your child in your absence. It is the responsibility of the parents to notify the school in writing, of any changes. Your child will not be released to any adult not on the list below. Provide name, relationship to child and phone number. 

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Church Membership
Church City
Church Pastor's Name
Church Denomination
Public school district you live in *
County of student's residence *
Is there anyone who should not have contact with your child(ren)?   *If this is a biological parent, we need a copy of the court order on file.   *
Name of person/people not allowed to have contact with your child(ren).
Child(ren)’s doctor name: 
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Doctor full address *
Doctor phone number *
Does your child have health insurance?   
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Health Insurance Company
Health Insurance ID #
Child(ren)’s dentist name: 
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Dentist full address  *
Dentist phone number *
Reason for enrolling child(ren) in Community Lutheran School in the Homeschool Partnership: *

Permission given to obtain emergency medical or dental care even if CLS is unable to immediately contact parents/guardian. Permission to administer first aid treatment if needed.                                

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Hospital choice in case of emergency *

Permission given to use your child’s picture on school website, yearbook, Facebook, You Tube, etc.   

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Type in parent name completing this form as your signature.   *
Date completed *
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