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Request more information

Thank you for your interest in Indian Rocks Christian School!

Please fill out the form below and our Admissions Office will contact you to provide the information you desire.  If you are only requesting information, you do not need to create an account.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Last Name *
  • Gender *
  • Grade Level of Interest *
    School Year *
  • Current School

  • Is your child interested in a Sport? If so, which sport:

  • Is your child interested in a Fine Art? If so, which fine art:
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •