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CWC Enrollment Form

Admissions

Admissions

CWC Enrollment Form

ceNTRAL wISCONSIN cHRISTIAN

ENROLLMENT APPLICATION
Please fill out all sections that apply. If it doesn't apply to your family, please skip ahead to the next section of the form.

Father/Guardian 1 Information
Father/Guardian 1 First & Last Name
Father/Guardian 1 Address
Address 1
Address 2

City

State

Zip
Father/Guardian 1 Phone Number
Father/Guardian 1 Email
Check All That Apply for Father/Guardian 1
Married Widowed Divorced Separated Single Parent Active Military
Father/Guardian 1 Employer
Father/Guardian 1 Parent Names
Father/Guardian 1 Parent Address
Address 1
Address 2

City

State

Zip

Mother/Guardian 2 Information
Mother/Guardian 2 First & Last Name
Mother/Guardian 2 Address
Address 1
Address 2

City

State

Zip
Mother/Guardian 2 Phone Number
Mother/Guardian 2 Email
Check All That Apply For Mother/Guardian 2
Married Widowed Divorced Separated Active Military
Mother/Guardian 2 Employer
Mother/Guardian 2 Parent Names
Mother/Guardian 2 Parent Address
Address 1
Address 2

City

State

Zip