Admissions Form
If you want to enroll at Lutheran High School, please complete and submit the followng form and you will be contacted about an interview appointment. A non-refundable registation fee of $250.00 is required to reserve a place if you are enrolling for the 2008-09 school year. Each additional child enrolling is $100.00.
Student Last Name
First Name, Middle Initial
Entering in 2008-2009 FreshmanSophomoreJuniorSenior
Date of Birth
Place of Birth
Social Security #
Current School
Street Address
City
State
ZIP
Home Phone (XXX) XXX-XXXX
E-mail
Student Home: Student is living with ParentsMotherFatherOther
Mother's Name
Mother's Occupation
Mother's Place of Employment
Mother's Work Phone Number
Mother's Cell Number
Father's Name
Father's Occupation
Father's Place of Employment
Father's Work Phone Number
Father's Cell Number
Family Church Membership