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WE’D LOVE THE OPPORTUNITY TO CONNECT WITH YOU, PROVIDE YOU WITH MORE INFORMATION, AND ANSWER ANY QUESTIONS YOU MAY HAVE ABOUT VALLEY CHRISTIAN SCHOOLS. 

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:

  • What Church Do You Currently Attend?
    *

  • How would you like us to reach out?
    *
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School
    Other:
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •