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Thank you for your interest in Messiah Lutheran School!

Please fill out the form below and our Admissions Office will contact you and provide the information requested.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone *
  • How Did You Hear About Us?
    Details:

  • Are you interested in learning more about Messiah's extended day options?

  • Choosing the right school for your child is a big decision. You are invited to join us for Discover Messiah Elementary School, a parent information gathering. This event is a great opportunity to gain a deeper understanding of our values, ask the questions that are important to you, as well as connect with other parents. Childcare will be available, so you can attend without any worries.

    Discover Messiah Elementary School will be offered on Thursday, January 23rd, 6:30-7:30pm. RSVP to let us know you can attend. Seating is limited.
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •