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Information Request

Thank you for your interest in Lutheran West!

Please fill out the form below and a member of our Admissions team will contact you and provide you with the information you requested.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone *
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
  • How Did You Hear About Us?
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Athletics (may require tryouts)
    Clubs and Activities
    Fine Arts
  • Current School
    Other:

  • Current Grade in School
    *
  •  
  • Is There Another Student?
    Yes No
  •