Wittenberg Academy Pre-Registration Form 2026-27

Wittenberg Academy Pre-Registration Form 2026-27
- Scholar Name (Middle name is required for login credentials)*
  
  First NameMiddle NameLast Name
- MaleFemale
- Birth Date*
  
  MonthDayYear
  Date
- Baptism Date
  
  MonthDayYear
  Date
- Scholar Email*
  example@example.com
- 2026-27 anticipated grade level*
- Parent Name(s)*
  
  First NameLast Name
- Parent Email*
  example@example.com
- Additional Parent Email (Optional)
  example@example.com
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number*
  Please enter a valid phone number.
- Home Congregation*
- Pastor's Name (We will contact your pastor as part of the pre-enrollment process)*
- Pastor's Email Address*
  example@example.com
- Please upload previous transcripts or documentation of education experience:*
  
  Cancelof
- Please select if you are interested in your scholar being part time (5- credits) or full time (6+ credits):*
  
  Part TimeFull Time
- Are there specific classes your scholar is interested in taking? *
- Please verify that you are human*
- Should be Empty: