Calumet Christian School
  
    
CCS Admission Inquiries

Thank you for your interest in Calumet Christian School.  Please fill out the information on this form, and we will get back with you as soon as possible.  Dan Obinger, Administrator.

 Parent / Guardian Information
Title Title
First Name First Name
Last Name Last Name
Address Address
City City
State/Region State/Region
Zip/Postal Code Zip/Postal Code
Country Country
Home Phone Home Phone
Work Phone Work Phone
Cell Phone Cell Phone
Email Email
Relationship Relationship
 Student Information
FirstMiddleLastDOBCurrent GradeGender
 Comments