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?

  • Have you toured our campus?

    * Yes   No
  • Please click below to register to attend one of our Pickerington Early Education (Preschool and Kindergarten) enrollment events (Take-a Look Tuesday).

  •  
  • 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
  •