Skip Navigation

Request Information


Thank you for your interest in Light of Christ Catholic Schools!

We invite you fill out the form below, and our Admissions Office will contact you soon to provide additional information.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone *
  • How did you hear about us? Is there someone we can thank for their recommendation? *
    Details:
  • Religious Denomination:

    *
  • Would you like to be contacted for a tour of our schools?

    Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  • If your preferred school is not available would you be interested in another school?

    Yes   No
  • Is your child currently on an IEP, ISP or 504?

    * Yes   No
  • If "yes", indicate dates, school district, and which services:

  • Are there any behavior or learning concerns we should be aware of?

  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •