Family Interest Form
Please complete this form if you are interested in enrolling your child and/or scheduling a school tour at Lighthouse Christian Academy.
Parent's Full Name
*
First Name
Last Name
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent's Email Address
*
example@example.com
Student's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level Applying For
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
What is your desired start date?
*
2026-2027 School Year
2027-2028 School Year
2028-2029 School Year
How did you hear about Lighthouse?
*
Please Select
Friend/Family
Facebook
Google Search
TEFA School Finder
Prenda Map
Other
Please tell us a little more about your family and what you are looking for:
*
Submit
Should be Empty: