Request Information

Let Centralia Christian School know that you are interested in learning about their school. Provide your information below to request this school's viewbook and application. Your request will typically be processed within 24 hours. If you have more specific questions for this school, please use our Email Schools form instead.

Notes for Prospective Students

CCS follows an application and assessment procedure to determine the most appropriate grade level(s) for your student(s) to ensure their academic, social-emotional and spiritual success. Family interviews for all new families are part of that screening process. Please contact us by phone, mail, email, or visit our website or drop by our building for a personal visit. Thank you!

Student Information

Email:

Name of parent:

Student first name:

Student last name:

Student date of birth:

Student is:

Male

Female

Currently in grade:

Seeking entry for grade:

Target start date:

About the Student

Please briefly describe academic, athletic, and extracurricular interests of the student:

Address and Telephone Number

Home address:

City:

Country:

State:

Zip: (enter "N/A" if not applicable)

Phone:

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