Enrollment | St. Stephen Lutheran

New Student Enrollment Form

Thank you for choosing to enroll at St. Stephen. SSLS is a great choice due to a small class size, individualized curriculum, caring staff, and the foundation of God's word.

Before you begin, please have dental records, medical records, emergency contacts, and financial

information available. You will be asked to upload your completed "Report of Health Exam"

and your "Release of Student Records". Additionally, please have banking information available, as all families are required to set up auto-payments.

Parent Name

Primary Email

Primary Phone

Parent Name

Secondary Email

Secondary Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Student Name

Student Birthday

Primary Emergency Contact

Secondary Emergency Contact

Secondary Emergency Contact Phone

List 2-3 people authorized to pick up your child from school

Today's Date

Student Grade