Skip Navigation

Request Information

Thank you for your interest in admissions!

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Cell Phone
  • How did you hear about Coastal Christian High School? *
    Details:
  • What are the most important factors in choosing a school for your child?

  • Please list your child's extracurricular interests both in and outside of school (Sports, drama, music, art, etc.)

  • Please choose one of the dates to attend our Admissions Open House below that best fits your family's schedule. 

  • Please choose one of the dates to attend our Admissions Open House below that best fits your family's schedule. 

  • Are you interested in touring our school? A link to schedule a tour will be sent once this form is submitted. 

  •  
  • Student 1
  • First Name *
    Last Name *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •