LCNS Registration 2021-2022
Child's First Name
Child's Last Name
Child's Nickname
Child's Gender
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Child's Date of Birth
MM
/
DD
/
YYYY
Do you have a child who previously attended LCNS? If so, name and year?
Enrollment Selection: Please select the class choice for your child.
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Mother's/Guardian's First Name
Mother's/Guardian's Last Name
Father's/Guardian's First Name
Father's/Guardian's Last Name
Street Address
City
Zip Code
Preferred Phone Number
Phone Type
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Alternate Phone Number
Phone Type
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Primary Email Address
Secondary Email Address
Are you interested in serving on the LCNS Board?
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Are you interested in serving on the Fundraising Committee?
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How did you hear about LCNS?
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I have read and understand LCNS' Registration Policies: Please see the registration policies document at www.lcns.org or contact the Director for a copy.
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