Pilgrim Lutheran School
  Educating Children with the Foundation and Love of Jesus Christ
Pilgrim Lutheran School Inquiry Form


Thank you for your inquiry related to our school. We ask that you complete the information below and click 'submit'.


Once completed, our Admissions Counselor will be in touch with you very soon!




 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?
Reason for School Transfer
List Special Service Plans/Needs
Former School