LCNS Registration for 2020-2021
Child's Name *
Your answer
Child's Nickname (If applicable)
Your answer
Child's Gender *
Child's Date of Birth *
MM
/
DD
/
YYYY
Do you have a child who previously attended LCNS? If so, name and year?
Your answer
Enrollment Selection *
Required
Mother's / Guardian's First Name *
Your answer
Mother's / Guardian's Last Name *
Your answer
Father's / Guardian's First Name *
Your answer
Father's / Guardian's Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Preferred Phone Number *
Your answer
Phone *
Alternate Phone Number
Your answer
Alternate Phone
Primary Email Address *
Your answer
Secondary Email Address
Your answer
Are you interested in serving on the LCNS Board of Directors? *
Are you interested in serving on the fundraising committee? *
How did you hear about LCNS? *
I have read and understand LCNS' Registration Policies? Please see the Registration Policies document on www.lcns.org or contact the Director for a copy. *
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