Peace Lutheran Ministries
  Antigo, WI
School and Childcare Inquiry Form

Thank you for your inquiry about our school and/or childcare.  We will contact you within the next business day. Please check out the rest of our website by visiting


School Administrator, David Reineke

Childcare Director, Annette Miller

Office, Melissa Wiebelhaus

Office, Danielle Wiebelhaus

 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