LCA Registration Form

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 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 assistance to the LCA Advisor:




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

* - Required Fields

Accelerated Christian Education Canada
P.O. Box 1360 
|  Portage la Prairie, MB 
|  R1N 3N9
Ph: (204) 428-5332 
|  TF: 1 (800) 976-7226



Copyright © 2012-2018 Accelerated Christian Education Canada
All Rights Reserved
Designed and Maintained by Brandon Blume