Skip Navigation
G-X0TNL8HM1P

Request Admission Information

Thank you for your interest in Rehoboth Christian School!

We are looking forward to meeting you and would love to share more information about our school. Please fill out the form below and one of our Admissions representatives will contact you to provide the information you desire.  

Our Elementary, Middle School, and High School applications will be available at noon on February 1, 2024 for the 2024-2025 school year. Campus tours and Educational Consultations are by appointment only. An Educational Consultation consist of meeting with the school principal to talk further about your child's academic needs.

 

* Indicates a required field.

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

  • What time of day is good to contact you?
    *
  • Are you interested in a campus tour at this time?
    * Yes   No

  • Would your child be interested in visiting our school for a day or half-a-day by shadowing another student? (only available during the school year and for 3rd grade-12th grade). 
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •