School Registration Form

Note: fields marked as * are required. When all sections have a green checkmark beside it, you can save the form.
Personal Information
Sibling Information
Student's Church

Following is a list of the 9 most common reasons parents enroll their children in a Christian School. Please rank the top 3 in order from 1 (being the most important) to 3 (being the lease important) that they apply to you personally.

Other Information
Emergency Contact Information (Parents will automatically be notified)
I authorize Prince of Peace Lutheran Church and Schools to release my children to the following persons:
Out of State Contact Information
Parent Authorization
I understand that if my child has an emergency they will be taken to the closest emergency room to Prince of Peace. I will pay physician's fees not covered by insurance. If necessary, I authorize emergency treatment by any certified paramedic, licensed physican and/ or hospital. Emergency contacts will be notified by Prince of Peace.

By entering my name below I am providing a digital signature which denotes authorization.
Student Health Information
Medical Information

Please bring any legal forms to the school office
Parent 1 Information

PoP Emails will automatically be sent to this email
Parent 2 Information
I would like to receive PoP emails
Name and Address of Person(s) Responsible for Payment
List Students Enrolling in 2023-2024 Prince of Peace Lutheran Church and Schools
Fee Schedule
1 Child: $6550
2 Children: $12,400
3 Children: $18,250
4 Children: $24,100
Registration 2023-2024
Registration Fee
K - 2: $625
1 Child: $6,850
3 - 8: $550
2 Children: $12,700
3 Children: $18,550
4 Children: $24,400
Technology Fee
Starting 3rd grade: $350
After 2 years in the Technology Program: $150
Tuition Payment Plans
Please select one:
Annual Payment Plan - Full payment of yearly tuition. Payment to be made in school office prior to the first day of school.
Payment of tuition monthly over a 10 or 12 month period, using SMART TUITION. Please be advised, there is a one-time $50 set up fee using this service.
Tuition and Fee Policy:
All fees are non-refundable. Tuition is refundable on a pro-rated basis after a written statement of withdrawal is received, and a 30 day notice is given. Accounts which become more than 30 days delinquent will result in the dismissal of the student. If you anticipate a problem making payments, please contact the school office in advance.
Volunteer Hours Policy:
Each family has the choice of giving 40 service hours of their time or paying $15 for each hour not served.
Signature of Person Responsible for Payments of Tuition and Fees:
By typing in your name below, you are agreeing to paying tuition and fees according to the financial agreement.
I hereby give Prince of Peace Lutheran Church and School the absolute right to photograph, interview or film my child(ren) listed above and copyright and / or publish the pertinent materials in whole or in part for printed materials, advertising, public information or any other lawful purpose.
I hereby waive any right that I may have to inspect and/ or approve the finished product or the copy that may be used in connection therewith, or the use to which it may be applied.
I hereby release, discharge and agree to save the above mentioned from any liability by virtue of any blurring, distortion, alteration, optical illusion of use in composite form whether intentional or otherwise, that may occur or be produced in the making of said picture, or in any processing tending towards the completion of the finished project.
Do NOT publish photos of students listed above.


Student Information
Parent Information
Medication Information
We, the undersigned, request that a member of the school staff administer to our child the medication prescribed according to the instructions given to us, by our physician:
*We will file any new medication instructions immediately if the medication or dosage is changed.
Any medication that must be given on a daily basis for a long period of time will require a doctor’s letter with a signature.
Therefore the above medication cannot be scheduled for other than during school hours and such medication maybe administered by medically untrained school personnel whenever necessary.

Parents are essential in the process of Christian education. WIthout your dedicated effort, a quality job of education cannot be accomplished. Therefore, Prince of Peace needs all parents (family members welcome) to be involved in the Parent Participation Program. Each family must donate 40 hours of service per school year at the school or church through one or more of the following ways. Failure to complete the 40 hours will result in a fee of $15.00 per hour not completed.

The category(ies) of involvement I/we have chosen is:

Family Service Day
Room Parent

In order to receive 40 service hours, room parents must meet the following expectations: Collaborate with the teacher to determine needs of the classroom at the beginning of the year. Coordinate door decorating and other activities for teacher appreciation week in May. Co-chair at least one event for the school during the year. Request volunteers and/or supplies for events from parents as needed throughout the year. Communicate in a timely manner with parents. Attend PTAL meetings.

Volunteer for one or more of the following events (please check):

Order catering. Decorate. Coordinate music and activities. Solicit candy donations. Organize cars for trunk decorations.

Organize equipment. Order and pick up pizza/food. Work in the kitchen to sell items.

Coordinate with the company to deliver items. Set up. Volunteer during the event. Take down.

Coordinate donations of treats as well as set up and take down for event.

Prepare and distribute fundraiser materials. Collaborate with the Office manager to collect order forms. Tally orders and count money. Place order with See’s Candy Store. Pick up candy. Sort orders.

Organize equipment. Order and pick up pizza/food. Work in the kitchen to sell items.

Plan event. Set up. Take down.

Coordinate theme. Decorate. Set up/order food items. Clean up.

Order water slides. Facilitate food and beverages. Set up/clean up.

We the parents have read and understand the “Parents Participation Program” and our responsibilities to Prince of Peace Lutheran Church and School.
*Donations of $15.00 may be used in exchange for 1 service hour, up to 20 hours.