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Thank you for your interest in Illiana Christian High School!

Please fill out the form below and our Director of Admissions, Jenna Dutton, will contact you soon. In the meantime, if you have any questions, feel free to contact Jenna by email at jdutton@illianaweb.org or by calling at 219.558.7066 x41.

Thank you again, and have a great day!

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Parent / Guardian Information
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  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
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  • Confirm Email Address *
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  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Work Phone
  • Cell Phone
Home Address
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  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
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    Gender
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
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