1st thru 5th Grade

Registration

• Birth Certificate
• 2021-2022 New Student Application
• Enrollment Fee: $100 by April 16, 2021 or $200 after April 16, 2021
• Tuition Contract
• 1st -5th Admissions Questionnaire
• Release of Information Form
• Current Grades and Report Card
• Standards Achievement Test Scores

Assessment Screening

After all information is submitted, a member of our admissions staff will call you to arrange an assessment screening and a meeting with the principal.

Health Forms/Immunizations

• Upon enrollment to Rockford Lutheran School, all students by submit a current physical examination.
• Students entering Grade 2 must submit a dental examination.
• Any new student enrolling in school for the first time must provide proof of an eye examination.

Additional Forms (if applicable)

2021-2022 Church Discount Form
2021-2022 Automatic Withdrawal Form

We respectfully request copies of testing results if your child has ever had any of the following:

• Speech and/or hearing therapy
• Psychological/educational assessments
• Testing for a learning disability

Admissions Decision

After all steps are completed, you’ll be notified in writing and/or by phone of the admission decision. Upon acceptance, students in Preschool-5th grade will be placed on the class roster at that time.

Fill out the appropriate forms and return to:

Rockford Lutheran Academy
Admissions Dept
1711 Delcy Dr
Rockford, IL  61107