2024-25 CCRS Inquiry Form

This form must be filled out by the parent or legal guardian.

Mother/ Legal Guardian First Name

Last Name

Father/ Legal Guardian First Name

Last Name

Email

Phone Number

Student 1 Name

Student 1 Grade (2024-25 school year)

Student 2 Name

Student 2 Grade (2024-25 school year)

Student 3 Name

Student 3 Grade (2024-25 school year)

How did you hear about CCRS?

Friend or family member

Other school

Internet Search

Who recommended us to you?

Where do you attend church?

Where does your child(ren) currently go to school?

Does your child(ren) have any learning disabilities, IEPs, or 504 plans?

Have you read our "Important Information" sheet?

Yes and I agree with it

Yes but I have some questions

No

If you answered "No", please take the time now to read through it. You will not be able proceed with further steps until you do.

Do you have any other comments or questions for us?