Skip Navigation

Inquiry Form

Thank you for your interest in Delaware County Christian School!

Please fill out the form below and our Admissions Office will contact you to answer your questions and provide you information on how to apply.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • Church Name:

    *
  • Is either parent an alum or former student of Delaware County Christian School?

    * Yes   No
  • If Yes to the above question, please enter your Maiden Name, if applicable, and, if you are an alum, the year you graduated, or, if you are a former student, the years or grades you attended DC.

  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Academics
    Athletics
    Arts
    Other Interests
    Activities
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •