Request Admissions Packet

Thank you for your interest in Immanuel Lutheran School. To receive an admissions packet, please provide the following contact information. Fields marked with an asterisk are required.

Please call Immanuel Lutheran School at 507.345.3027 with questions or to schedule a visit.

Student Information
* First Name:
* Last Name:
Email:
Date of Birth (MM/DD/YYYY):
* Current Grade:	--- Pre-Kindergarten Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12
* Entering Grade:	--- Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12
Contact Information
* Person Inquiring:
* Relationship:	--- Mother Father Guardian Grandparent Self Other
* Address 1:
Address 2:
* City:
* State:
* Zip:
Email:
* Daytime Phone:
* Home Phone:
* Preferred Mode of Contact:	Email Phone Mail
Parent/Guardian Information
First Name:
Last Name:
Contact Phone:
Parent/Guardian Information
Please share any other comments with us, including questions you may have and a good time to contact you.