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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
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us?
    Details:

  • We hold tours on Thursdays at 10 a.m.  If that day and time do not work for your schedule, please let us know when you might be available.
    *

  • If yes, when would you like to schedule a tour? 

  • Please tell us about any special interest your child has.
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •