Skip Navigation

Request Information

Thank you for your interest in Liberty Christian Academy!  Please complete the form below and our Admissions Office will contact you to answer any questions you may have.  

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
  • Cell Phone *
  • How Did You Hear About Us? *
    Details:
  • What are your top priorities for your child's education?

  • Please select a date below and come at 9:30am that day to take a tour of our main campus for grade K-12. 10447 Refugee Rd Campus.

    *
  • Please select a date below and come at 9:30am that day to take a tour of our Early Education Center grade PK3 and PK4. 758 Corylus Dr. Pataskala Ohio 43062.

    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •