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Request Information

We commend you for thinking about a Christian School education and appreciate your interest in Covenant Life School!  Answering the questions below will help us get to know your family and how to serve you best.  You may also post any comments or specific questions at the end of this brief interest survey.

Thank you!

* Indicates a required field.

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

  • What kind of information are you requesting?
    *

  • Do you know someone at Covenant Life School? Check all that apply.
    *

  • Covenant Life School's mission is to serve families that are involved in a local Christian church. Check all that apply below to identify your involvement in your local church.
    *
  • Covenant Life School's mission is to educate students to think biblically and live passionately for Christ. Do you consider yourself to be a Christian?
    *
  • Does your spouse consider himself or herself to be a Christian?
    *

  • Would your student(s) want to participate in our Shadowing Event (Incoming Middle School and High School students only)?
    Yes   No
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Music
    Secondary School Clubs
    Secondary School Sports
  • Current School

  • Does or has the student ever receive(d) any kind of learning/ speech/ vision/ occupational therapy, intervention, resource help, etc?
    * Yes   No
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •