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

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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

4

Student Information
Student's First Name*
Student's Middle Name*
Student's Last Name*
Student's Preferred Nickname
Date of Birth*
Date Format: MM slash DD slash YYYY
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*
Allergies, Special Needs, or Medications

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
Would you like to provide information for a second Parent/ Guardian?*
- 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
Permission to Pick Up Student?*
- 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
Permission to Pick Up Student?*
- Yes
- No

Home Language Survey (HLS)
The Civil Rights Act of 1964, Title VI, Language Minority Compliance Procedures, requires school districts and charter schools to determine the language(s) spoken in each student’s home in order to identify their specific language needs. The purpose of this survey is to determine the primary or home language of the student. Please answer the following questions regarding the language spoken by the student:
What is the native language of the student?*
What language(s) is spoken most often by the student?*
What language(s) is spoken by the student in the home?*
Consent for English Language Development*
By checking this box, you certify that responses to the three questions above are specific to your student. You understand that if a language other than English has been identified, your student will be tested to determine if they qualify for English language development services in the public school, to help them become fluent in English. You understand that St. John’s Lutheran School does not offer these services and the student will be tested annually to determine their English language proficiency.
St. John's Lutheran School Code of Christian Conduct Covering Students and Parents-Guardians
To maintain a positive learning environment, all members of the St. John's Lutheran School (SJLS) community must work together to support the mission and philosophy of the school. Therefore, it is a condition of enrollment that students and behave in a manner, both on and off campus, which is consistent with the principles and philosophy of SJLS. These principles include but are not limited to any policies, principles or procedures set forth in our Parent-Teacher Handbook. It is also a condition of enrollment that the parents/guardians of students conform themselves to these standards of conduct when interacting with all members of the SJLS community. These principles include, but are not limited to, the following: 1. Parents/guardians should work courteously and cooperatively with SJLS to assist the student in meeting the academic, moral and behavioral expectations of the school. 2. Parents/guardians may respectfully pursue concerns about a student's progress or behavior by contacting the student's teacher. If matters are not resolved, the principal may be contacted. If, after meeting with the principal, the issue remains unresolved, the school board may be contacted. Conflicts between parents should be addressed with the school principal. 3. Students and parents/guardians may respectfully express their concerns about the school operation and its personnel to the proper school and church authorities. However, they must do so in a courteous manner that is not disrespectful, disruptive, threatening, hostile or divisive. 4. These expectations for students and parents/ guardians apply, but are not limited to, all school-sponsored programs and athletic events held on and off the SJLS campus. SJLS reserves the right to determine, in its discretion, which actions fall short of meeting the principles and philosophy of SJLS. Failure to follow these principles will result in a verbal/written warning to the student and/or parent/guardian and, for students, the appropriate disciplinary action as articulated in the Parent-Teacher Handbook and/or the classroom management plan. SJLS reserves the right to determine, in its discretion, when conduct is of such a severe nature as to warrant immediate disciplinary action (suspension of student or suspension of parent/guardian's privilege to come on campus and/or participate in school activities) or require parents/guardians to withdraw their child with or without a previous warning.
Consent to Code of Christian Conduct*
By checking this box, you agree to the terms of St. John's Lutheran School Code of Christian Conduct provided above.
Next Steps
Once you click submit, we will contact you within 48 hours to schedule your enrollment meeting during which you will review the information you provided in this form and sign a printed copy of the form.
Email
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

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

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Last Name

Email

Phone

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

Student Information

First Parent/ Guardian Information

Second Parent/ Guardian Information

First Emergency Contact Information

Second Emergency Contact Information

Home Language Survey (HLS)

St. John's Lutheran School Code of Christian Conduct Covering Students and Parents-Guardians

Next Steps

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

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