Cornerstone Christian School
Enrollment Application
STUDENT INFORMATION
Name
First Name
Middle Name
Last Name
Suffix
Student's Date of Birth
Student's Gender
Please Select
MALE
FEMALE
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT INFORMATION
Parent Name
First Name
Last Name
Email
example@example.com
Cell Phone
Please enter a valid phone number.
When is the best time to contact you Monday-Friday?
Please Select
Mornings (9:00 am - 11:00 am)
Afternoons (12:00 pm - 2:00 pm)
Late Afternoons (3:00 pm - 5:00 pm)
ADDITIONAL INFORMATION
How did you hear about Cornerstone:
What school did your child previously attend?
What caused you to leave the previous school?
When would you like your child to start at Cornerstone?
Will you need Child Care Initiative/Action for Children?
Please Select
YES
NO
Submit
Should be Empty: