LCA - Student Enrollment Form

Last Name:*

Student First Name:*

Middle Name:*

Preferred Name:*

SSN*

Grade*

Date of Birth*

Date

Male or Female*

MaleFemale

Mother's Maiden Name*

Birth State/Nation*

Birth City*

Birth County*

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Father's Name*

Father's Cell*

Father's email*

example@example.com

Mother's Name*

Mother's Cell*

Mother's email*

example@example.com

CUSTODY ALERT?*

YESNO

If yes, please attach an explanation including a COPY of any court orders.

Does this student have any medical conditions?*

YESNO

If yes, please describe the medical condition:*

Is the student Hispanic or Latino?*

YesNo

Choose all races that apply from the list below:*

Resides with:*

Is a language other than English spoken in the home?*

YESNO

If yes, what language?:*

Country of Origin*

Contact #1 - Name:*

Contact #1 - Phone Number:*

Contact #1 - Relationship to Child:*

Contact #2 - Name:*

Contact #2 - Phone Number:*

Contact #2 - Relationship to Child:*

Contact #3 - Name:*

Contact #3 - Phone Number:*

Contact #3 - Relationship to Child:*

Contact #4 - Name:*

Contact #4 - Phone Number:*

Contact #4 - Relationship to Child:*

Name of Last Schoo Attended:*

City:*

State:*

Date Withdrawn:

Date

Has the student ever been enrolled in a Special Education/Resource/504/Gifted Program?*

If yes, what type of program/services?*

Where?*

When?*

Is this student currently under suspension/expulson of another school?*

If yes, what school?*

What church does the child attend?*

Church's address:*

Have both parents accepted Christ as their personal savior?*

YESNO

Please mark if your child will need child care before or after school:*

BEFOREAFTERNONE

Legacy Christian Academy (LCA) stands firmly upon the historical truth claims and moral foundations of Christianity.

This includes, but is not limited to, the biblical foundations of marriage, sexuality, moral conduct, and the biblical teaching that gender is both sacred and established by God's design. Parents or the legal guardians, who choose to enroll their children at LCA, are agreeing to support these and other basic biblical values derived from historic Christianity. Parents understand and agree that LCA will teach these principles and biblical values. In addition, the LCA Board urges parents to recognize their scriptural responsibility (Deuteronomy 6:1-9; Proverbs 22:6) to provide their children with a Christian education and to understand that the primary responsibility for this task rests with the parents. (Ephesians 6:4) LCA is founded upon biblical values and the desire and commitment for Bible-believing Christian parents to enroll their children in an intentionally Christian environment. LCA will accept students who are willing to support the school's philosophy of Christian education, student conduct requirements, and the school's stated positions where parents are willing to allow their children to be educated and influenced in an intentionally Christian environment. Continued enrollment is contingent upon this same understanding and support by both the student and parents.

LCA is a religious institution providing an education in a distinct Christian environment, believing its biblical role is to work in conjunction with the home to mold students to be Christ-like. On occasions in which the atmosphere or conduct within a particular home or the activities of the student are counter to or in opposition to the biblical lifestyle the school teaches, the school reserves the right, within its sole discretion, to refuse admission of an applicant or discontinue enrollment of a current student. This includes, but not limited to, sex outside marriage, homosexual acts, bi-sexual acts, gender identity different than the sex chromosomal level; promoting such practices; or otherwise, the inability to support the moral principles of the school. (Leviticus 20:13a; Romans 1:27; Matthew 19:4-6)

LCA believes that every person is created in the image of God, that human sexuality reflects that image in terms of intimate love, communication, fellowship, subordination of the self to the larger whole, and fulfillment. God's Word makes use of the marriage relationship as the supreme metaphor for His relationship with His covenant people and for revealing the truth that this special relationship isof one God with His people. Therefore, God's plan for human sexuality is that it is to be expressed only in a monogamous lifestyle relationship between one man and one woman within the framework of marriage. This is the only relationship that is divinely designed for the birth and rearing of children and is a union made in the sight of God, taking priority over every other human relationship. This is validated by Gen. 1:27-28; 2:18, 20, 23-24; Isa. 54:4-8; 62:5b; Hosea 2:19. Matt. 19:4-6; Mark 10:9; Eph. 5:23-32; 1 Tim. 5:14; Heb. 13:4; and Rev. 19:7-8.

LCA believes to follow the teachings of the Scriptures regarding marriage and divorce, and therefore we must affirm that sexual relationships outside of marriage and sexual relationships between persons of the same sex are immoral and sinful. We further affirm that heterosexual monogamy is God's plan for marriage, and we regard sexual sin of the spouse, such as adultery, homosexual behavior, bestiality, or incest, as the only biblical grounds for considering divorce, and then only when appropriate counseling has failed to restore the relationship. LCA abhors the trend to ignore God's laws of chastity and purity, and vigorously opposed to public acceptance of sexual promiscuity and all factors and practices which promote it. The school maintains a biblical view of human sexuality that makes the sexual experience, within the framework of marriage, a gift of God to be enjoyed as communion of a man and a woman, as well as for the purpose of procreation. The depth of the sinfulness of homosexual practice is recognized, and yet we believe the grace of God sufficient to overcome both the practice of such activity and the perversion leading to its practice. This is validated by Ex. 20:14, 17; 22:19; Lev. 20:10-16; Matt. 5:32; 19:18; Mark 10:11-12; and Luke 16:18.

Gender differentiation and male/female uniqueness are part of divine design that God indelibly engraved upon creation. God immutably created each person as male and female. They were created as two distinct and complimentary genders reflecting the image and nature of God. (Genesis 1:26-27) We enjoy personal fulfillment through an intimate fellowship and union with God. as exemplified by the ideal of Christ as the bridegroom and the Church as His bride. (Ephesians 5:22-32; Revelation 19: 7-9) Gender confusion and dysphoria are ultimately the biological, psychological, social, and spiritual consequences of the human race's fallen condition. While society is at liberty to legitimize any behavior it chooses simply by reclassifying and renaming it, Christ-followers adhere to biblical boundaries. It is our Christian conviction that renaming them cannot normalize sin and its expressions

I, blanks* , hereby certify that the information that I have provided on this student enrollment form is true and correct. I authorize this academy to verify the information that I have provided on this application by contacting the student's former school as needed. I understand that if have misrepresented any information on this form that my child will be immediately withdrawn. I am also aware that my child must maintain acceptable conduct, grades, and attendance to remain enrolled in Legacy Christian Academy.

I agree with the Biblical Lifestyle Policy listed above. I understand that my family must abide by these principles.

Signature of Applicant*

Date*

Date

How did you hear about LCA?*

How did you hear about LCA?

STUDENT ENROLLMENT FORM

EMERGENCY CONTACTS

Last School Attended

Spiritual Information

Before/After School Needs

BIBLICAL LIFESTYLE POLICY

PARENT ACKNOWLEDGEMENT SIGNATURE