Admissions Information Request
Student Name
*
First Name
Last Name
Student's Birth Date
*
-
Month
-
Day
Year
Date
Entering Grade
*
Two-Year-Old Town
Preschool (3s & 4s)
Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade (Lutheran High)
10th Grade (Lutheran High)
11th Grade (Lutheran High)
12th Grade (Lutheran High)
Gender
Male
Female
Current School (if applicable)
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Trinity Lutheran School | 515 S. MacArthur Blvd., Springfield, IL 62704-2435 | 217.787.2323
Should be Empty: