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Request for Information

THANK YOU FOR YOUR INTEREST IN PLUMSTEAD CHRISTIAN SCHOOL!

 We are still accepting new student applications for the 2024-2025 academic school year! 
 
 Please complete the form below to request additional information, ask a question, or plan a visit.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •