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?    

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 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025    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 Schooling Type*:
(ie. homeschool, public school, etc)

 

Was A.C.E curriculum used?

 

Highest Grade Completed*:

K 1 2 3 4 5 6 7 8 9 10 11 12

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 of assistance to the LCA Advisor:

* = Requried fields

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