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Request Information

Thank you for your interest in Suburban Christian school!

Please fill out the form below and our Admissions Office will contact you with further information. 

* Indicates a required field.

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

  • Has Parent 1 accepted Jesus Christ as their Savior?
    * Yes   No

  • Does Parent 1 regularly attend?
    * Yes   No

  • Has Parent 2 accepted Jesus as their Savior?
    * Yes   No

  • Does Parent 2 regularly attend church?
    * Yes   No

  • Current Church Congregation
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School

  • Has the student ever been suspended or expelled? 
    * Yes   No

  • If yes, please explain

  • Does student have an IEP or receive special accommodations?
    * Yes   No

  • If applying for K4 or K5, is the child potty trained
    Yes   No

  • Does the student have any physical needs or allergies?
    *

  • Is the student a refugee?
    * Yes   No

  • If yes, what is the date of arrival to the US?
    (mm/dd/yyyy)
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •