Coulee Christian School - Early Learning Center
  Helping children to develop a love of learning
School Inquiry Form

Welcome to the Inquiry Page for Coulee Christian School's Early Learning Center


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 Early Learning Center.


After the visit...Pre-Enrollment

Thank you for visiting our school.

This form will serve as a pre-enrollment to our program and will hold your spot during the application process. Under status, click Pre-Enrollment.

A separate application link will be sent to you. From the time that you receive the application, you will have two weeks to submit the application during which time we will hold your spot in the class.


$100 Application Fee may be mailed into the school at 230 W. Garland Street, West Salem, WI 54669



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's Early Learning Center.

 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 Session
Requested Class