1st thru 5th Grade

1st thru 5th Grade Admission Process


  • Birth Certificate
  • 2019-2020 New Student Application

  • Enrollment Fee: $100 by March 31, 2019 or $200 after March 31, 2019

  • Tuition Contract

  • 1st -5th Admissions Questionnaire

  • Release of Information Form

  • Current Grades and Report Card

  • Standards Achievement Test Scores

  • Admission Testing may be required (call the school office at 815-226-4947 to schedule)


    Health Forms/Immunizations

  • Upon enrollment to RLS, all students by submit a current physical examination.

  • A state mandated physical is required for students entering Kindergarten.

  • Students entering Kindergarten and Grade 2, must submit a dental examination.

  • Students entering Kindergarten and any new student enrolling in school for the first time must provide proof of an eye examination.


Additional Forms (if applicable)

2019-2020 Church Discount Form
2019-2020 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 Drive
Rockford, Illinois 61107