Application for Admission to
Gloria Dei Lutheran School

Please fill out the following application. Note that a registration fee is necessary to process the application. For more information please call (650) 593-3361. If you would prefer to print out an application and fill it out by hand, you will find that here: Printable Application.

Student Information
Name *
Name
Address *
Address
MM/DD/YYYY
City, State
If applying for pre-kindergarten, please indicate the desired schedule:
Note: A 3-day schedule can be any three days that fit your schedule; we ask that they remain consistent for the entirety of the school year.
Parent / Guardian #1 Information
Name *
Name
If different than above address
Primary Phone Number *
Primary Phone Number
Secondary Phone Number
Secondary Phone Number
Employer Phone Nmber
Employer Phone Nmber
Parent / Guardian #2 Information
Name
Name
If different than above addresses
Primary Phone Number
Primary Phone Number
Secondary Phone Number
Secondary Phone Number
Student's Education Background
Parent / Guardian's Assesment
Religious Information
Signature
Parent / Guardian 1 Name and Date
Parent / Guardian 2 Name and Date