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Request Information

Thank you for contacting Cole Valley Christian Schools (CVCS).  We would love to show you what God is doing at our school.  Please complete the short inquiry form below and we will respond to you as soon as we can.  

Blessings,

Denise Jordan, CVCS Admissions Director
Tricia Shindle, CVCS Admissions Coordinator

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Gender *
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Salutation
  • Email Address *
  • Gender *
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
  • Current School

    Other:
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •