Lodestone Academy Registration Form
For questions or support, please contact us at contact@lodestoneacademy.net or call us at (562) 902-0508. Our office is located at:

1201 S Beach Blvd Ste 106
La Habra, CA 90631

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Student's Full Name  (Last, First) *
Gender *
School Name (GATE?) *
Grade/DOB *
Sibling / School Name (GATE?)/ Grade/DOB
Sibling / School Name (GATE?)/ Grade/DOB
Parent's/Guardian's Name *
Parent's/Guardian's Phone *
Parent's/Guardian's Email *
Parent's/Guardian's Address *
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