School registration is available in the winter and summer. Arrangements may also be made for registration during the school year. To learn more or if you have questions, please call us, 217-243-3419.  

To begin the application process, please print and complete each form below. Mail or drop off the forms at the school office. Upon receipt, allow us 1-2 weeks to review your application. Many times, the wait is less. We will contact you after reviewing.  

Mail or drop forms to:

Salem Lutheran Church & School
222 E. Beecher St.
Jacksonville, Illinois 62650

Click here for the current tuition fee schedule.  


Available Forms

School Application 

Certificate of Child Health Examination

Dental Exam 

Eye Exam

Emergency Contact Form

Field Trip Permission Form

Athletic Physical Form