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Request Information

Thank you for your interest in our school!

Please fill out the form below and our Admissions Office will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • How Did You Hear About Us? *
    Details:

  • Would you like to schedule a tour? 
    * Yes   No

  • Please provide a date/time that you would like to visit our campus. 

    Campus tours can be scheduled Monday, Thursday & Friday from 8:00 AM-2:00 PM 

    Tuesday from 11:00 AM-2:00 PM 

    Wednesday from 11:00 AM-2:00 PM
    *

  • What is your church background?
    *

  • Please list each student(s) current grade level and provide the name of the student(s) current school. 
    *

  • Please briefly explain your reasoning for considering enrollment at Centennial Baptist School?
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •