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Enrollment
For re-enrollment please fill out the following form.
LCA Re-enrollment
LCA Re-enrollment for current students
Student Information
Student 1 - Name / Age / Grade Entering:
*
Student 1 - Birth Date:
*
Student 2 - Name / Age / Grade Entering:
Student 2 - Birth Date:
Student 3 - Name / Age / Grade Entering:
Student 3 - Birth Date:
Student 4 - Name / Age / Grade Entering:
Student 4 - Birth Date:
Student 5 - Name / Age / Grade Entering:
Student 5 - Birth Date:
Family Information
Check all that apply:
*
Address has not changed from last year
Phone number has not changed from last year
If address has changed please enter here:
Father or Male Guardian Name:
*
First
Last
Mother or Female Guardian Name:
*
First
Last
Marital Status (check one):
*
Married
Divorced
Separated
Widowed
Parent Employment Information (if changed from last year):
Please list employer name and number.
Is the student's father a Christian?
Yes
No
Is the student's mother a Christian?
Yes
No
Is/are the student(s) a Christian?
Yes
No
Does your family currently attend a Bible believing church?
Yes
No
Actively searching for a church to attend
Church Name / Pastor / Church Phone Number
Finance Agreement
Lighthouse Christian Academy Financial Agreement. We understand that as a private school, Lighthouse Christian Academy does not receive governmental financial help for operational expenses and that prompt payment of all expenses incurred for the education of our child/children will be considered as a sign of our concern for sound and responsible education practice. We understand that should unexpected events (such as earthquakes, floods, acts of war, or attempts to curtail religious freedoms by governmental agencies) cause the closing of our Christian school for any length of time, no money will be refunded; and should our child/children be withdrawn from Lighthouse Christian Academy no money will be refunded. We further realize that all projects, test results are the property of Lighthouse Christian Academy but are available for inspection on request. We understand that our financial responsibilities are as follows and agree to pay on this basis: Pre-K through 12th Plan “A” One Yearly Payment ($1,710.00 less 5% discount) (Sept/May) Plan “B” - Nine Months ($200 per month) A (5%) discount is given when the tuition is paid in full. Families that pay yearly, need to check monthly charges for repeat materials, etc. A (10%) discount will also be given if you pay tithes to Lighthouse Ministries. To get a discount on tuition, when there is more than one child attending, they must be from the same family, such as brother/sister. This does not apply when two or more families are living in one household. Late Fees: Payments are due the first of every month. Payments received after the 10th. day of the month will be charged a late fee of ($25.00). This also applies to any balances over ($25.00). Accounts must be paid in full by the last day of each month. If your account has not been cleared by the last day of the current month, your child will not be permitted in class until your account is paid in full. Returned Checks: A service fee of ($25.00) will be charged for returned checks. This must be cleared within five (5) working days or your child will not be permitted to remain in Lighthouse Christian Academy. This must be paid by cash or money order.
Father or Male Guardian Signature
*
I agree to the financial terms policy.
My checking the above box signifies agreement to meet my financial obligations as outlined above and
submission to program requirements.
Mother or Female Guardian Signature
*
I agree to the financial terms policy.
My checking the above box signifies agreement to meet my financial obligations as outlined above and
submission to program requirements.
Contact Information
Best phone number for us to reach father:
*
Best phone number for us to reach mother:
*
Emergency Contact 1 (Name and Number):
*
Emergency Contact 2 (Name and Number):
*
Date Submitted
*
MM slash DD slash YYYY
Enter the date you are submitting this form
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