Enrollment Form - St. John's Lutheran Church & School

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St. John's Lutheran School

Thank you for your interest in St. John's Lutheran School! We're thrilled to introduce you to La Porte's only faith-based educational experience. Our enrollment process is completed in three simple steps: Step 1. Please complete the electronic enrollment form below, in it's entirety, and then click Submit. Step 2. Once your enrollment form is received, we will contact you within 48 hours to schedule an enrollment meeting during which you will receive a tour of our facilities, meet our faculty, and ask any questions you'd like. Step 3. We'll review a few additional documents with you and have you sign your enrollment form to complete your enrollment.

St. John's Lutheran School

Thank you for your interest in St. John's Lutheran School! We're thrilled to introduce you to La Porte's only faith-based educational experience. Our enrollment process is completed in three simple steps: Step 1. Please complete the electronic enrollment form below, in it's entirety, and then click Submit. Step 2. Once your enrollment form is received, we will contact you within 48 hours to schedule an enrollment meeting during which you will receive a tour of our facilities, meet our faculty, and ask any questions you'd like. Step 3. We'll review a few additional documents with you and have you sign your enrollment form to complete your enrollment.

1 Student Information

2 Parent/ Guardian Information

3 Emergency Contact Information

Student Information
Student's First Name*
Student's Middle Name*
Student's Last Name*
Student's Preferred Nickname
Date of Birth*
Gender*
- Male
- Female
Student's Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Name of Church Student Attends
Grade Next Year*
Ethnicity*

First Parent/ Guardian Information
Parent/ Guardian Relationship*
Name of Church
First Name*
Middle Initial
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Home Phone
Work Phone
Email*
Custody*
Is this parent the primary custodian of the student?
- Yes
- No
School Correspondence*
Does this parent wish to receive news, updates, and event information from St. John's?
- Yes
- No
Text Alerts*
- Yes
- No
Include in Directory*
- Yes
- No
Second Parent/ Guardian Information
Parent/ Guardian Relationship*
Name of Church
First Name*
Middle Initial
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Home Phone
Work Phone
Email*
Custody*
Is this parent the primary custodian of the student?
- Yes
- No
School Correspondence*
Does this parent wish to receive news, updates, and event information from St. John's?
- Yes
- No
Text Alerts*
- Yes
- No
Include in Directory*
- Yes
- No

First Emergency Contact Information
Emergency Contact Relationship*
First Name*
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Home Phone
Work Phone
Email*
School Correspondence*
Does this person wish to receive news, updates, and event information from St. John's?
- Yes
- No
Text Alerts*
- Yes
- No
Include in Directory*
- Yes
- No
Second Emergency Contact Information
Emergency Contact Relationship*
First Name*
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Home Phone
Work Phone
Email*
School Correspondence*
Does this person wish to receive news, updates, and event information from St. John's?
- Yes
- No
Text Alerts*
- Yes
- No
Include in Directory*
- Yes
- No
Comments
This field is for validation purposes and should be left unchanged.

Have questions?

Let's chat about how we can help you discover deeper, more meaningful, relationships through service to your neighbors and to God. Just fill out the form to the right or call us.

Call us: (219) 362-3726

Contact Us - Desktop

If you are human, leave this field blank.

First Name

Last Name

Email

Phone

Briefly tell us a little about how we can help you *

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Have questions?

Let's chat about how we can help you discover deeper, more meaningful, relationships through service to your neighbors and to God. Just fill out the form below or call us.

Call us: (219) 362-3726

Contact Us - Mobile

If you are human, leave this field blank.

First Name

Last Name

Email

Phone

Briefly tell us a little about how we can help you *

reCAPTCHA

St. John’s Lutheran Church & School
111 Kingsbury Ave, La Porte, IN 46350
(219) 362-3726
churchoffice@stjohnslaporte.org

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