Lighthouse Christian Academy Registration Form

NOTE: If you have not already, please contact Customer Service for registration & tuition payment arrangements in addition to filling out this form.

If you are re-enrolling with LCA, please fill out the LCA Online Re-enrollment Form instead.

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 Schooling Type*:
(ie. homeschool, public school, etc)
 
Was A.C.E curriculum used?
 


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 of assistance to the LCA Advisor:

* = Requried fields

This web form is protected from SPAM by SnapHost.com
reload image
Captcha Code
Enter Captcha code


Go to Sitemap
Copyright © 2012 - 2019 Accelerated Christian Education Canada
All Rights Reserved
Website built and designed by Brandon Blume