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Request Information

Thank you so much for your interest in our school!  Your next opportunity to enroll at LCA will be to attend a meeting on  January 25th or 26th, 2021, for enrollment in Fall 2021, which begins on August 9, 2021. Please fill out the "Request for Information" form below to place your student in our Admissions Queue. 

 

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Lucas Christian Academy?
    Details:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Fine Arts
    Misc
    Academic
  • Current School

    Other:
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •