Request Information

Let Hephatha Lutheran Church and 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

Early Childhood: A tour, registration Form, and a completed Confidential Recommendation Form (to be completed by the student's previous school/program, and mailed or faxed back to Hephatha by that school/program) K-8th: A tour, and (preferrably) a shadow day, as well as a registration Form, and a completed Confidential Recommendation Form (to be completed by the student's previous school/program, and mailed or faxed back to Hephatha by that school/program); additionally, the student's most recent test scores and report card.

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

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Address and Telephone Number

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State:

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

Phone:

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