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Application for Admission
This application for admission is valid for students entering preschool - grade 8.  Each application must be accompanied by a copy of the student's birth certificate, a copy of the parent's photo ID, and any related custody documentation.  Students entering grades 1-8 must also complete the request for records form and provide a copy of the most recent report card. More information about next steps is available beneath this application.

Student's First Name:
Student's Middle Name:
Student's Last Name:
Student's Date of Birth (mm/dd/yy):
Applying for Grade:
Female or Male:
Student's Street Address:
City:
ZIP:
Present School:
Present Grade Level:
Present School Location (City, State):
Student's Church:
Church Denomination:
Church Location (City, State):
Pastor's Name:
Baptism Date:
Student's Race/Ethnicity (Check all that apply):






Parent #1 First Name:
Parent #1 Middle Name:
Parent #1 Last Name:
Parent #1 Relationship to Student:
Parent #1 Street Address:
Parent #1 City:
Parent #1 ZIP:
Parent #1 Phone Number:
Parent #1 Phone Type:

Parent #1 Email Address:
Parent #1 Occupation:
Parent #1 Employer:
Parent #1 Church:
Parent #1 Denomination:
Parent #1 Church Location (City, State):
Parent #2 First Name:
Parent #2 Middle Name:
Parent #2 Last Name:
Parent #2 Relationship to Student:
Parent #2 Street Address:
Parent #2 City:
Parent #2 ZIP:
Parent #2 Phone Number:
Parent #2 Phone Type:

Parent #2 Email Address:
Parent #2 Occupation:
Parent #2 Employer:
Parent #2 Church:
Parent #2 Denomination:
Parent #2 Church Location (City, State):
Check if appropriate:



Does the applicant have any learning disabilities? If yes, please explain.
Siblings: (Names and Dates of Birth)
Family Doctor:
Doctor Phone Number:
Doctor Street Address:
Doctor City:
Doctor ZIP
Primary Emergency Contact:
Relationship to Applicant:
Emergency Contact Phone Number:
Emergency Contact Street Address:
Emergency Contact City:
Emergency Contact ZIP:
Please Check Preferences:


How did you hear about Messiah?
Please upload a copy of your child's birth certificate, a parent photo ID, and any related custody documentation, OR mail/deliver a copy of these documents to Messiah Lutheran School, 4401 W 215th Street, Fairview Park, OH, 44126. Your application is incomplete without this documentation. Messiah Lutheran School may ask to view an original copy of these documents at any time.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

1 + 8 =

Next Steps After Completing Application

Once you've filled out the above form, we'll need a few more things to complete your application. These items can be dropped off at the school office or sent via email in .pdf or .jpg forms.  These include:
  • Copy of student's birth certificate
  • Copy of parent's photo ID
  • Any related custody documentation
  • Completed Request for Records form
  • Copy of student's most recent report card
  • $75 application processing payment (accepted at school office)
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