Lutheran High Northwest
Prospective Student Information
Please print and complete
Name:__________________________________________________________________________
Parent's Names:___________________________________________________________________
Address:_________________________________________________________________________
City:____________________________________________________ Zip:____________________
Phone:__________________________________________________________________________
Your E-mail:_____________________________________________________________________
Parents' E-mail:___________________________________________________________________
Current School:___________________________________________________________________
City:____________________________________________________ Grade:__________________
Home Church:____________________________________________________________________

City:____________________________________________________________________________
 

Interest in Attending Lutheran High Northwest
Please Check One
   Definitely coming to Northwest
   Unsure, but probably coming to Northwest
   Totally undecided
   Unsure, but probably not coming to Northwest
   Definitely not coming to Northwest

Please check all of the following extracurricular activities you are interested in:

 

  Band    Cross Country    Softball
   Baseball    Dance Team    Tennis
 Basketball  Drama  Track
   Cheerleading    Football    Volleyball
   Chess Club    Ice Hockey    Wrestling
   Choir    Soccer    Yearbook

How did you hear about Lutheran High Northwest?  Please check any that apply:
____Family ____Church ____Newspaper ____School
____Yellow Pages ____Recruiting Visit ____Web Site ____Other
Please print, complete, and send to

Mr. Paul Looker, Principal
Lutheran High School Northwest
1000 Bagley
Rochester Hills, Michigan  48309