New Student Application

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New Enrollment Application

This application is for new students only and must be approved by Lighthouse Christian Academy administration.

Last Name:*
Home Phone:*
Father's Name:
Mother's Name:
Name of Legal Guardian if not mother or father:
Home Address:*
Work Address:
Church Attended:*
Do you attend your church regularly?*
Name / Age / Gender / Grade Entering for Student #1:*
Name / Age / Gender / Grade Entering for Student #2:
Name / Age / Gender / Grade Entering for Student #3:
Name / Age / Gender / Grade Entering for Student #4:
Name / Age / Gender / Grade Entering for Student #5:
Enrollment History
School last attended:*
Address of school last attended:*
Phone:*
Have all, if any, financial obligations to previous schools attended been fulfilled?
Have any of applying students been expelled, dismissed, suspended, or refused admission to another school?*
If you answered yes to the above question please identify the student and explain:
Has student ever used alcohol, tobacco, or drugs?
Has student ever been arrested or accused of a crime?
If student has ever had any disciplinary difficulties please explain:
Please indicate academic level of first student's previous work:
Please indicate academic level of second student's previous work:
Please indicate academic level of third student's previous work:
Please indicate academic level of fourth student's previous work:
Please indicate academic level of fifth student's previous work:
APPLICATION DISCLAIMER:*
I understand the application disclaimer:
I understand that applicant acceptance is subject to approval by Lighthouse Christian Academy's administration. Submitting of this application is the first step in the enrollment process. Further documentation and consent forms can be downloaded by clicking the link below the submit button. All forms must be filled out, signed, and mailed along with the $50 enrollment fee to Lighthouse Christian Academy. Please contact us with any questions.
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Consent Forms and Other Documentation

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New Enrollment Application

Enrollment History