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Thank you for your interest in Crossroads Christian School!

Please fill out the information requested below.  Our Enrollment Coordinator will contact you soon to follow up on your inquiry.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
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  • Last Name *
  • Salutation *
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  • Confirm Email Address *
  • Gender *
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  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
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  • Gender *
  • Work Phone
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Home Address
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  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
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    Gender *
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
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  • Parent / Guardian Notes
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