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Request Information

Thank you for your interest in Christ Lutheran School, Costa Mesa! Our Grade School serves children from Kindergarten to 8th grade and we would love the opportunity to share more about who we are with you.

Please fill out the form below and you will be contacted by our Admissions Team to set up a time for you to come and visit our school. We are looking forward to meeting you and taking the next steps!

Blessings on your day!

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Hobbies
  • Current School
  • What city is your current school located?

  • International Students

  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •