Home
Online Store
Order Information
About Us
Homeschool
L.C.A. Homeschool
L.C.A. Registration Form
FAQ's
Specials
Events
Calendar
CEC
Staff Training
Student Conventions
Links
Contact Us
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?
Yes
No
if so, who?
Student Information
Student's Name*:
Gender*:
Female
Male
Birth Date*:
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Previous Education
Last School Attended*:
Was A.C.E curriculum used?
Address*:
City*:
Province*:
Postal Code*:
Years Attended*:
1
2
3
4
5
6
7
8
9
10
11
12
13
Highest Grade Completed*:
1
2
3
4
5
6
7
8
9
10
11
12
13
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?
Yes
No
Electives:
(Please Specify)
Please list other information regarding the student's past history that may be assistance to the LCA Advisor:
This web form is protected from SPAM by
SnapHost.com
reload image
Enter Captcha code
* - Required Fields
