Valley Christian Schools

About the Student

Student Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Applying For Grade

For the School Year

Semester Interested in

Is the student an international student?

Yes No

Country of Citizenship

Current School

What church does your family attend?

Please specify

How can we help you today?

I would like to:

Tell us more:

What questions can we answer?

How would you like us to reach out?

Tuition Assistance

Please visit http://www.vcschools.org/Page/283 to learn more about Tuition Assistance at Valley Christian Schools. You can also call our Business Office at 562-860-0556.

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Home Phone (xxx-xxx-xxxx)

Preferred Cell Phone (xxx-xxx-xxxx)

Email

Broadening Horizons

Thanks for reaching out. We'll be in touch soon.

How did you hear about Valley Christian Schools?

Please specify

Please tell us who referred you to Valley Christian:

Title

First

Middle

Last

Suffix

Preferred Name