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Thank you for your interest in Rehoboth Christian School!

Please fill out the form below and one of our Admissions representatives will contact you to provide the information you desire.  For the 2nd semester (Spring 2020), there is limited classroom seats available for certain grades. An Educational Consultation will involve a meeting with the appropriate school principal, taking a tour of the particular school your child is entering in, and also receiving information about tuition assistance.

Inquires for the 2020-2021 school year, choose this school year in the drop down but also note in the "parent & guardian notes" area that you are interested for next school year. We are opening PreK- High School applications online on February 3, 2020 and will not be booking Educational Consultation appointments yet for the next school year at this time. 

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •  
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