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Application for Admission for PreK-3/4

STUDENT INFORMATION

UPLOAD PHOTO OF CHILD HERE

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Pre-K Option:
Gender
Has your child ever repeated a grade(s)?
Has your child ever been suspended or expelled from school?
Has your child been home schooled?
Has your child ever been tested for or diagnosed with a learning disability?

PARENT/GUARDIAN INFORMATION

Student resides with:

SIBLING INFORMATION

OTHER INFORMATION

Are you a member of St. Martin’s Lutheran Church?
Are you a member of another local Lutheran Church?

A non-refundable Application fee must accompany this form. Please make your check payable to St. Martin’s School or make an electronic payment here:                    

The Fees are as follows:

Pre-K: $35.00              Grades K-8th: $100.00

I (we) certify that I (we) have answered all questions honestly and completely. I (we) have not withheld any information from, nor misled the Director of Admissions.

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