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Dear Guest of our Westlake Christian School Website and Admissions Page:

Thank you for your interest in Westlake. 

We appreciate you completing the information below.  A member of our Admissions Team will contact you afterward.

Again, many thanks for your interest.

Sincerely,

Jayanne K. Roggenbaum, M.A.T., Psy. Sp.

Head of School

* 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:

  • Have you visited our website (www.WestlakeChristiansSchool.org)?
    Yes   No

  • Are you filling out this form in person at Westlake Christian School?
    * Yes   No
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School

  • What grade is your child currently enrolled in?
    *

  • How long has your child attended their current school?
    *

  • What are your child's interests such as sports, fine arts, engineering, etc?
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •