FLS Enrollment Application

First Lutheran School - Enrollment Application
Thank you for your interest in enrolling at First Lutheran School. To ensure thorough consideration of your application, kindly follow the prompts and complete all sections.

Submitting an application is an essential step in our evaluation process but does not guarantee enrollment. New students participate in a screening process that considers factors such as academic potential, behavior, commitment to Christian principles, and teacher recommendations.

The application fee is $100.00 and includes the admissions screening. All application fees are non-refundable.

For any questions, feel free to contact the school office at (310) 320-9920 or by email at school@flchurch.org. If you’re considering enrollment for the current school year, please reach out directly to the school office for assistance.

Once your application is submitted, we will contact you within a few business days to schedule a screening.

Student Information
Student Name*

First NameMiddle NameLast NameSuffix
Gender*

MaleFemale
Date Of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.

Student Information
I am applying for the grade*
I am applying for enrollment beginning*
MM/YYYY
Is your student enrolled in First Lutheran's Early Education Center (EEC)?*

YesNo
What language does your child primarily speak at home?*
Is your child an English Language Learner (ELL)?*

YesNo
Have there been any behavior concerns at a previous school?*
Is there an IEP or 504 plan in place?*

YesNo
Please list any limitations or handicaps

Parent/Guardian Information
Please select the primary contact for enrollment correspondence*

Parent/guardian 1Parent/guardian 2
Parents are*
If parents are separated/divorced, who does the child live with?*
Parent/Guardian 1 Details
Parent/Guardian 1 Name*

First NameMiddle NameLast NameSuffix
Is the parent/guardian address the same as the student?*

YesNo
Parent/Guardian 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 1 Phone Number*
Please enter a valid phone number.
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Employer*
Parent/Guardian 1 Occupation*
Parent/Guardian 2 Details
Parent/Guardian 2 Name

First NameMiddle NameLast NameSuffix
Is the parent/guardian address the same as the student?

YesNo
Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Employer
Parent/Guardian 2 Occupation

Sibling Information
Sibling 1 Details
Sibling 1 Name

First NameMiddle NameLast NameSuffix
Sibling 1 Age
- Sibling 2 Details
- Sibling 2 Name
  
  First NameMiddle NameLast NameSuffix
- Sibling 2 Age
- Sibling 3 Details
- Sibling 3 Name
  
  First NameMiddle NameLast NameSuffix
- Sibling 3 Age

Student Information Consent
Thank you for your interest in First Lutheran School. We look forward to working with you to ensure FLS is a perfect fit for your student and family. As part of the screening and application process, we require input from your child's most recent teacher. This helps us gain an understanding of your student's strengths and areas of need.

The Family Educational Rights and Privacy Act (FERPA) of 1974 is Federal law designed to protect the privacy of students as to their educational records in the school where they are enrolled. The law permits the students to know the records that the school may disclose to another or lets the students control the disclosure of their personal information. School officials can only, therefore, share your education records to third parties if you provided prior written consent, except under limited exceptions provided for by FERPA.
Name of most recent school*
Name of most recent teacher*
Email of most recent teacher*
example@example.com
By signing my name, I waive my right to withhold and consent to the release of the education records and teacher input of the aforementioned student. I likewise affirm that I have made this consent and waiver voluntarily.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date

Enrollment Processes and Policies
New Student Enrollment

Once a new student is accepted, the full non-refundable registration fee must be paid before space is reserved for that student.

Continuous Enrollment of Current Students

Once a student has been enrolled at First Lutheran School they will be automatically re-enrolled each school year, unless written notice to request withdrawal has been provided. The registration fee for the following school year will be billed in April and June.

Acceptance of Terms

As parent(s) or guardians of the child named in this application, I agree:
- To support the objectives of First Lutheran School by cooperating with the teachers and administration in all matters, including my student's faithful and prompt attendance, completion of assignments, and the exercise of Christian discipline and training
- To pay tuition charges, applicable day care charges, and other required fees according to the schedule established by First Lutheran School.
- To provide data required by the school, such as a birth certificate and health and immunization records.
- To promptly inform the First Lutheran School Office of any changes in addresses or phone numbers for the student, parents/guardians and emergency contacts.
Application Fee

The application fee is $100.00 and includes the admissions screening. All application fees are non-refundable.

After the application is submitted, families will be directed to Cheddar Up to complete the application fee. Applications are reviewed and time-stamped only after payment has been received and verified.

For your convenience, families applying for multiple students may add more than one application fee in Cheddar Up and submit a single payment. A separate application must still be completed for each student.
By signing my name, I agree to the terms outlined above.
Parent/Guardian Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

First Lutheran School - Enrollment Application

Student Information

Student Information

Parent/Guardian Information

Parent/Guardian 1 Details

Parent/Guardian 2 Details

Sibling Information

Sibling 1 Details

Sibling 2 Details

Sibling 3 Details

Additional Information

Student Information Consent

Enrollment Processes and Policies