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Apply Here - Day School Interest Form

Date*

Month

Day

Year

The entry test date and fee for the application are currently to be determined after the submission. We will notify you with further information.

Acknowledge

Registration*

Registration Fee: $200.00 - due with letter of acceptance (New Students Only)

Re-Registration Fee: $125 - After January 31, 2025 this fee is increased to $200 and registration will be open to new enrollment.

I understand this fee is non-refundable and will be paid after school tour.

Acknowledge

Print Name as Signature*

Grade Entering*

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

Previous School

Child's First Name*

Child's Middle Name

Child's Last Name*

Gender*

Address*

Child Date of Birth*

Month

Day

Year

Home Phone

Parent's First Name*

Parent's First Name

Parent's Last Name*

Parent's Last Name

Employer*

Employer

Occupation*

Occupation

Work Phone*

Work Phone

Cell Phone*

Cell Phone

Email*

Email

Siblings(Name and Age)

Church Affliliation

Pupil Information

Was your child ever selected for a gifted program?*

Yes

No

Has your child ever recieved speech services?*

Yes

No

Has your child ever been certified by CSE committee to recieve special services?*

Yes

No

Important Information

Request for bus transportation from your local school district must he made PRIOR TO APRIL 5. Request/or textbooks from your local school district will he made by Grace Lutheran School. NYC school districts will not provide transportation.

Acknowledge

Photo Publicity Release

I grant permission for any photographs involving my child while a student at Grace Lutheran School to be used in connection with publicity for the school.

Acknowledge

Print Name as Signature*

Any additional information you would like us to know?

How did you hear about us?

Friends

Social Media

Search Engine (Google, Bing, etc.)

AI (ChatGPT, Gemini, etc.)

Other