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Visit Pella Christian Inquiry Form

We can't wait to meet you!

Please complete the information before and our Admissions Office will be in contact to schedule and answer your questions about Pella Christian Schools.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Gender *
  • Cell Phone
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *

  • How did you hear about Pella Christian?
    *

  • Are you or your spouse a PC alumni?
    * Yes   No

  • If you were referred by a PC family, please tell us whom:

  • What church are you currently attending/member of, and for how long?
    *

  • Please share why you desire you send your child(ren) to Pella Christian.
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •