Grace Church School

Student Information

Student's Name

First

Middle

Last

Suffix

Preferred Name

Date of Birth

mm/dd/yyyy

Gender

Interested for Fall

Inquiring For Grade

Current School

Please Specify

Current School

Please Specify

How can we help you today?

I would like to attend:

Grace In-Person Preview

Please select a time

Contact for this appointment

First Name

Last Name

Phone

Email

Virtual Spring Admission chats for JK-K

Please select a time

Contact for this appointment

First Name

Last Name

Phone

Email

Virtual Spring Admission chats for Grades 1-4

Please select a time

Contact for this appointment

First Name

Last Name

Phone

Email

Virtual Spring Admission chats for Grades 5-8

Please select a time

Contact for this appointment

First Name

Last Name

Phone

Email

Virtual Introduction to Grace and Independent Schools

Please select a time

Contact for this appointment

First Name

Last Name

Phone

Email

Parent / Guardian Information

Relationship to Student

Parent / Guardian Name

First

Middle

Last

Suffix

Preferred Name

Email

Preferred Phone

Type

Number

Mailing Address

Is there a second Parent/Guardian in the household?

Yes No

Relationship to Student

Parent / Guardian Name

Title

First

Middle

Last

Suffix

Preferred Name

Email

Preferred Phone

Type

Number

Mailing Address

Student Interests

Art Interests

Referral Method

How did you hear about us?

Name of School Director?

School Name

Name of Educational Consultant
or Director

If you selected 'From Current Grace School Family' or "Other," let us know who we can thank: