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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  PreK- High School applications opened online on February 1, 2022. Campus tours and Educational Consultations are by appointment only. An Educational Consultation consist of meeting with the school prinicpal 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 *
  • Gender
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Gender
  • 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:

  • What time of day is good to contact you?
    *
  • Are you interested in a campus tour at this time?
    * Yes   No
  • Are you interested in an Educational Consultation meeting?
     
    An Educational Consultation consist of meeting with the school principal separately to talk further about your child's academic needs. Do you need an additional appointment for your child? 
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Email Address
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •