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Request Information

Thank you for your interest in our school!

Please fill out the form below and we will contact you to schedule a no-obligation tour of our school.

* Indicates a required field.

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

  • What is your relationship to the applicant?
    *

  • Why are you interested in bringing the applicant to Heritage Christian School?
    *

  • What has been the applicant’s school experience recently?
    *

  • Does the applicant struggle struggle with anything academically, socially, emotionally, and/or physically?
    *

  • Has the applicant ever been placed on academic/disciplinary probation, been suspended or expelled from school?
    * Yes   No

  • Does the applicant have any behavior/discipline issues that HCS should be made aware of?  
    *

  • Does the applicant have any of the following education plans?
    *
  •  
  • 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
  •