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Request Information

Thank you for your interest in our Valley Christian School!

Please fill out the form below and our Admissions Office will contact you and provide the information you request within 2 business days.If you are interested in a school tour and meeting with our Head of School to discuss admissions, please note that in the "notes" section at the bottom of this form. 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Work Phone
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First 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?
    *

  • If you selected "other," please explain:

  • If referred by a current VCS parent, please provide her/his name:

  • What is your marital status?
    *

  • If your marital status is "other," please explain:

  • What is your country of origin?
    *

  • What is the primary language spoken at home?
    *

  • Do you attend church?
    * Yes   No

  • If so, what church do you currently attend?

  • What age will your child/ren be on September 1st?
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *

  • Please select the English fluency level of this student:
    *

  • What is the name of the current school this student is attending? Please state the exact school name and city the school is located in. If the child is not in school, state "None."
    *

  • If this student resides in Philadelphia, what is the exact name of the public Philadelphia school this student would attend? If child does not reside in Philadelphia, type "N/A."
    *
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •