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Western Christian Schools PS-12
Parent Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Student Details
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Grade Level of Interest
*
Preschool
TK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
2025-2026
Additional Child
*
Please Select
Yes
No
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Grade Level of Interest
*
Preschool
TK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
2025-2026
Additional Child
*
Please Select
Yes
No
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Grade Level of Interest
*
Preschool
TK
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
2025-2026
Are you inquiring about our international program?
*
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No
How did you first hear about Western Christian?
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Yelp
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School Website
Current School
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