Russell Christian Academy

Request Information

Request for School Information Packet:

1.
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Parent Name:

2.
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Address 1:

3.

Address 2:

4.
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City, State 

5.
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Zip Code: 

6.
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Contact Phone 1:

7.

Contact Phone 2:

8.
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1st Student Name:

9.
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1st Student Grade Level:

Pre-Kindergarten   Kindergarten   1st Grade
2nd Grade   3rd Grade   4th Grade
5th Grade   6th Grade   7th Grade
8th Grade   9th Grade   10th Grade
11th Grade   12th Grade
10.

2nd Student Name:

11.

2nd Student Grade Level:

Pre-Kindergarten   Kindergarten   1st Grade
2nd Grade   3rd Grade   4th Grade
5th Grade   6th Grade   7th Grade
8th Grade   9th Grade   10th Grade
11th Grade   12th Grade
12.

3rd Student Name:

13.

3rd Student Grade Level:

Pre-Kindergarten   Kindergarten   1st Grade
2nd Grade   3rd Grade   4th Grade
5th Grade   6th Grade   7th Grade
8th Grade   9th Grade   10th Grade
11th Grade   12th Grade
14.
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Check all that apply:

(1 required)
Send me an information packet   Please contact me on my phone
I would like an educational consultation with the Headmaster   I would like to schedule a tour
15.

Comments or Questions:

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