LCA Enrollment Interest Form

Thank you for your interest in Lighthouse Christian Academy! We can't wait to connect with you! 

PLEASE NOTE: When choosing the 'Grade Level of Interest' below make sure you select your child's appropriate grade level (If your child should be in the 3rd grade, but has been held back and is currently in 2nd; select 3rd grade and notate why your child is not in the appropriate grade in the comments section). For Fall 2025 enrollment, select the grade your child will be entering. 

**A separate form must be completed for each student.

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Email *
Enrollment Year  *
PARENT/GUARDIAN INFORMATION (1)
First Name *
Last Name *
Phone Number *
Full Home Address *
PARENT/GUARDIAN INFORMATION (2)
First Name
Last Name
Email address *
Phone Number
Full Home Address (Type "N/A" if the same as Parent 1)
How did you hear about us? *
Student Information
First Name *
Last Name *
Birthdate (MM-DD-YYY) *
Gender *
Grade Level Interest *
Current School (Name, City, and State) *
Does your child currently have a 504 plan or IEP? *
Comments
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