Christ Schools-Christ Kids Child Care (Tax ID 47-051-9511) - Admissions Inquiry Form

  • School

    Christ Schools-Christ Kids Child Care (Tax ID 47-051-9511) (Lincoln, NE)
  • School Year

    2017-2018 (Fall 2017 - Spring 2018)

Student Information

    Student Name

  • First
    Last
  • Student Date of Birth

  • MM/DD/YYYY
  • Student Gender

  • Male
    Female
  • Current School Name

  • Current School City

Parent/Guardian Information

    Parent/Guardian 1 Name

  • First
    Last
  • Parent/Guardian 2 Name

  • First
    Last
  • Address

  • Street Address
    City
    State / Province / Region
    Zip / Postal Code
  • Home Phone Number

  • Cell Phone Number

  • Email

  • Confirm Email

Additional Questions/Comments

  • If you have any additional questions or comments, please write them below.

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