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Thank you for your interest in Lafayette Christian School!

Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

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Parent/Guardian Information
*First Parent/Guardian
Salutation *

First Name *

Last Name *
Email Address *
Cell Phone

(Ex: 999-999-9999)
Second Parent/Guardian
Salutation

First Name

Last Name
Email Address
Cell Phone

(Ex: 999-999-9999)
How Did You Hear About Us? *

Details:
Home Phone *

(Ex: 999-999-9999)
Street Address
City
Country
State
Zip
Would you like to request a tour? *

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Student 1
First Name *

Last Name *
Birthdate

(mm/dd/yyyy)

Gender

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Grade Level of Interest *

School Year *
Current School
Is There Another Student? Yes No
Parent/Guardian Notes