Skip Navigation

Request Information

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.

* Indicates a required field.

  • 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?
    * Yes   No

  • If inquiring about kindergarten, are you interested in 3-Day or 5-Day?
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student? Yes No
  •  
  • Parent / Guardian Notes
  •