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Request for Information

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will be in contact with you.

* 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 Colonial Christian School? *
    Details:

  • Please indicate the listed Parent(s)/ Guardian(s) relationship to the student.
    *

  • Please indicate the Parent's/Guardian's Marital Status.
    *

  • Religious affiliation:
    *

  • Please tell us what church you currently attend? If you are not regularly attending a local church, please simply respond by typing "Do not attend."
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *

  • Please indicate the school type the student currently attends:
    *

  • Current School
    *

  • Briefly describe the student's academic history/progress along with their strengths and challenges. 
    *

  • Does your student have a current IEP, 504 Plan, learning challenge, or disability (this could include autism, dyslexia, dysgraphia, ADHS, Reading or Comprehension Difficulty, etc.)? 
    * Yes   No

  • Has this student ever been suspended or expelled from school? 
    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •