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Request Information

Thank you for your interest in Central Baptist Christian School!

Please fill out the below form, and our office will contact you shortly to provide additional information regarding your request.



* 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:

  • We will be hosting an Open House on Feb 1st from 7pm-8:30pm. This is an opportunity for you to come by and meet the teachers, view curriculum, and tour the campus. You will also receive all the information you need to know regarding how to apply and enrolling with us. Please select if you will be attending our Open House or if you are not interested at this time. 
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •