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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.

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Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Email Address *
  • Cell Phone
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  • Have you toured our facility?

    * Yes   No
  • Click below to register to attend our K-12th grade Enrollment Open House.

  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Academics
    Miscellaneous
    Sports
  • Current School
  •  
  • Is There Another Student?
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  •  
  • Parent / Guardian Notes
  •