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Request Information

Thank you for your interest in Christ Episcopal School!

Please fill out the form below, and our Admissions Office will contact you to provide additional information regarding your request.

*PreK3 & PreK4 - Must be restroom independent (potty-trained - no pull-ups)

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone
  • How Did You Hear About Us? *
    Details:

  • Interested in Optional Extended Day Program?
    * Yes   No

  • Have you seen our website? www.ces-nac.org
    * Yes   No

  • Daycare/Schools previously attended or attending:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •