Lighthouse Christian Academy Registration Form

Family Information
Address*: City*:  
Province*:   Postal Code*:  
Home Phone*:   Work Phone:  
Cell Phone:   Email Address:  
Parents/Guardians Names*:      
Has any member of the family ever been enrolled in LCA?            if so, who?  
 
Student Information
Student's Name*:   Gender*:  
Birth Date*:         
       
Previous Education
Last School Attended*:   Was A.C.E curriculum used?  
Address*:   City*:  
Province*:   Postal Code*:  
Years Attended*:   Highest Grade Completed*:  
If you are currently using the A.C.E. curriculum, please list the last PACE completed in each of the following subjects:
Math  English   Social Studies   Science   Word Building   Literature   Creative Writing
       
Does the student plan to earn a high school diploma from LCA?    
       
Electives:
(Please Specify)
Please list other information regarding the student's past history that may be assistance to the LCA Advisor:  
     
   
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Accelerated Christian Education Canada
P.O. Box 1360  |  Portage la Prairie, MB  |  R1N 3N9
Ph: (204) 428-5332  |  TF: 1 (800) 976-7226