Enrollment Application

To apply for enrollment, please fill out the information below.
Submit only one application per family.

Primary Office Contact?
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Primary Office Contact?
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Is there a court order establishing custody rights?
Do you plan to apply for Tuition Assistance?
Do you have internet access?
Have you made a profession of faith in Jesus Christ?

Student Information

Gender
Student's ethnic background
Student lives with (check all that apply)
Has student ever been suspended, expelled, or denied admission to a school?
Has student ever repeated any grades?
Has the student ever received educational services/assistance or been seen by a learning specialist, school psychologist, or other mental health professional? Please check all that apply:
I grant LCA staff permission to obtain emergency care if warranted and will assume expenses for care.