Coulee Christian School- West Salem
  West Salem, WI
    
Coulee Christian Inquiry

Welcome to the Inquiry Page for Coulee Christian School

 

Information Request...First Step

Please fill out the form below and submit. Someone from our office will contact you to answer questions and schedule a visit. We look forward to sharing more about our school.

 

 

Please feel free to contact the school at (608) 786-3004 if you have any questions or problems with this portal. 

Some screens go to a blank white screen after clicking submit. When that happens, the information has been submitted and received.

 

Thank you very much for taking a closer look at Coulee Christian School.

 Parent / Guardian Information
Title Title
First Name First Name
Last Name Last Name
Address Address
City City
State/Region State/Region
Zip/Postal Code Zip/Postal Code
Country Country
Home Phone Home Phone
Work Phone Work Phone
Cell Phone Cell Phone
Email Email
Relationship Relationship
 Student Information
FirstMiddleLastDOBCurrent GradeGender
 Additional Information
How did you hear about us?
Requested Date of Admission
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