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Request More Information about Central Christian School

Thank you for your interest in our school.

Please fill out the form below, and our Admissions Director, Amber Osner, will be in contact with you.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First 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 us? *
    Details:

  • Are you interested in attending a campus tour?
    Yes   No

  • Which church are you currently attending? If none, please indicate with "n/a."
    *

  • I would like more information about the Literacy Excellence Program at Central Christian School.
    Yes   No

  • My student currently has an IEP (Individual Education Plan).
    Yes   No
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Athletics
    Fine Arts
    Leadership
    Miscellaneous
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •