Unity Lutheran Christian Elementary School A Mission Outreach of the Southern Illinois District – LCMSREGISTRATION FORM 2026-2027 LinkedInThis field is for validation purposes and should be left unchanged.Parent/ Guardian’s Name(Required) First Middle Last Parent/ Guardian’s Name First Middle Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Child Details(Required)Full Name of the Child (include middle name)M or FSocial Security NumberGrade EnteringDate/Place of BirthDate/Place Baptized Add RemoveLast School Child AttendedChild Lives With Mother Father Both Guardian Church Membership Name of Church Location Does Your Child Have Any Learning or Behaviorial Needs? NameYes/No Yes No If yes, please explainNameYes/No Yes No If yes, please explainNameYes/No Yes No If yes, please explainAll information is confidential and used only to help us provide the best possible educational support for your child.Has Your Child Ever Been Evaluated for Special Education?NameYes/No Yes No If yes, please explainNameYes/No Yes No If yes, please explainNameYes/No Yes No If yes, please explainAll information is confidential and used only to help us provide the best possible educational support for your child.Registration Fee: $200 Per Child; $150 Per Child if Paid Before June 15 (non-refundable) Tuition Fee: Sliding Scale Based on Income - Financial Aid Available. All incoming students must take an entrance examination and are subject to a probation period of two weeks. Enrollment will be finalized with the teacher at that time.Parent/Guardian SignatureNotice of Non-Discriminatory Policy Unity Lutheran Christian Elementary School admits students of any gender, race, age, color, or national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate based on gender, race, age, color, or national and ethnic origin in administration of its educational policies, admissions policies, scholarships, and athletic programs.