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St. Lucas Lutheran School K-8 Enrollment Form

We are delighted to have your child enroll in our school. This information will help us keep accurate records for our students. This information will be kept confidential. Please use the form below to input your data to our secure registration data.

Family Information

This is the family information for all the students from your family applying for enrollment. If students are part of a blended family please fill out a separate registration form for each student according to the family that will have main custody for the student.

Custodial Parent or Guardian Name(s) (First, Last, Middle Initial)

Name(s) of student(s) from this family who are applying for enrollment (First, Last, Middle Initial)

Who has legal custody for students applying for enrollment?

If for any reason the noncustodial parent is not allowed visitation rights and does not have the right to remove student from school, St Lucas Lutheran School must have a legal document from the custodial parent to support this order.

Father's Information

Father's Name (First and Last)

Home Phone

Cell Phone

Employer Name and Work Phone

Mailing Address

Please check the items we have permission to list in the school directory:

Name

Home Phone

Cell Phone

Mailing Address

Mother's Information

Mother's Name (First and Last)

Home Phone

Cell Phone

Employer Name and Work Phone

Mailing Address

Please check the items we have permission to list in the school directory:

Name

Home Phone

Cell Phone

Mailing Address

Guardian's Information

Guardian's

Home Phone

Cell Phone

Employer Name and Work Phone

Mailing Address

Please check the items we have permission to list in the school directory:

Name

Home Phone

Cell Phone

Mailing Address

I have read the St. Lucas Lutheran School Handbook and voluntairly agree to uphold the ideals and standards set forth and plege my God-pleasing cooperation to these values.St. Lucas Handbook

I have received, read, and understand the Schedule of Fees, including the section regarding refunds and penalties.Schedule of Fees

Our family has read, discussed understand and agree to all the rules, regulations and consequences of the St. Lucas Lutheran School Network/Policy. Network Policy

262-626-2680

1417 Parkview Dr

Kewaskum, Wisconsin