We Are Excited You Are Interested In Coming To Concordia

Please fill out this form. If you have questions EMAIL or CALL Traci

 

Student Info
Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Address *
Address
Family Info
• Parent / Guardian 1
Name *
Name
Work Phone *
Work Phone
Cell Phone *
Cell Phone
• Parent / Guardian 2
Name
Name
Work Phone
Work Phone
Cell Phone
Cell Phone
Mother, Father, Step-Mother, Step-Father, Guardian
Married, Separated, Divorced, Mother or Father Deceased
Sibling 1
Sibling 1
Sibling 2
Sibling 2
Church Info
Questions
if yes please describe
if yes please describe
if yes please describe
if yes please explain
if yes please describe
Radio, Email, Friends, Church, Etc...
Agreement & Signature
Agreement *
We understand the registration fee is non-refundable. We further recognize tuition is non-refundable if a student is dismissed by Concordia High School. One half of a current month’s tuition is refundable to students who transfer out within the first ten (10) days of that month. After ten days, tuition is non-refundable. We understand tuition payments are due the fifth (5th) of each month. We further recognize the fact that Concordia High School will not issue diplomas, or release transcripts or records until all financial obligations are fulfilled. We give our child(ren) permission to participate in all school activities including athletics and any school sponsored trip away from campus unless the school receives written notice to the contrary. We, the undersigned, certify this information to be complete and factual, promise to fulfill all financial obligations, and to adhere to the policies and regulations of Concordia High School. We understand that if tuition becomes delinquent, our child may not be allowed to attend class. By checking this box you agree to all the above terms.
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