Questionnaire

Please fill out the following four forms.
Each form can be completed and submitted separately, allowing you to fill out all 4 forms at four different times if the need arises.

Applicant Information
Parent/Guardian Information
Student Questionnaire
Additional Forms

Applicant Information

* Indicates required field

Family Name *

Name *

First

Last

SS# *

Date of Birth *

Age *

Gender *

Male Female

Phone Number *

Current Grade *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Applying for Grade *

Has applicant ever been held back? *

Allergies *

Medications *

Has the applicant ever been tested or received special help for reading or learning difficulty?(If yes, please submit a copy of any testing or diagnoses with the application) *

Upload File *

Max file size: 20MB

Has student ever been diagnosed, recommended, or enrolled in any special education program or special school (e.g. resource room, L.D. placement, attention deficit, etc.)? If yes, please explain *

If allergic to any medications,please specify *

Pertinent Information Concerning My Child's Physical Health *

If Yes, Comment *

Submit

Parent/Guardian Information

* Indicates required field

Family Name *

Father/Guardian *

First

Last

Mother/Guardian *

First

Last

Stepmother *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Stepfather *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Occupation *

Cell Phone Number *

Occuptaion *

Title *

Employer *

Employer Address *

Title *

Employer *

Employer Address *

City/State/Zip *

Employer Phone Number *

City/State/Zip *

Employer Phone Number *

Emergency Contact

Name *

Phone Number *

Name *

Phone Number *

Name *

Phone Number *

Family Physician *

Insurance Co. *

Phone Number *

I give the school staff permission to call emergency medical technicians for emergency. *

Yes No

Parent Interview

Father's Name *

First

Last

Mother's Name *

First

Last

Occupation *

Church *

Marital Status *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

D.O.B. *

When did you accept Jesus as your Savior? *

Are you involved in ministry? If yes, please tell us about it. *

Why would you like your child(ren) to be part of the Lakeside Christian Academy family? *

Why do you believe a Christian education and a Biblical Worldview is important? *

Where does your child(ren) attend school now? *

What do you like and/or dislike about their current school and education experience? *

What is most important to you for your child's educational experience? *

Tell me about your child(ren). Help me see him/her through your eyes. *

Do you have any behavioral or academic concerns for your child(ren)? Please explain. *

Do you plan to use before and aftercare? *

Would you like to volunteer this summer? *

Would you like to volunteer during the school year? *

Will you participate in school fundraisers? *

How will you pay tuition? *

In full by Aug. 1 (5% discount if paid in full) Half by Aug 1 and the remaining half by Jan 1 Ten Monthly payments through FACTS(first payment due Aug. 1)

Submit

Student Questionnaire
*Only necessary for students 5th-12th Grades

* Indicates required field

Family Name *

Name *

First

Last

Is Jesus your Savior? *

Date of Birth *

Grade *

Tell me about your relationship with Him. *

Why would you like to be a Lakeside Christian Academy Lion? *

What do you like about your current school? *

What do you dislike about your current school? *

Describe your perfect school. *

What does Biblical Worldview mean to you? *

Do you think it's important? Why or why not? *

What are some of your strengths and talents? *

What are some of your weaknesses or areas you want to improve? *

What are your hobbies or things you enjoy doing? *

What extra-curricular activities would you want to be involved in if they were offered? *

Submit

Authorized Pick-Up

If someone is picking up your child that is not on the pick-up list, you must call or send a note before we will allow your child to leave campus.

* Indicates required field

Name *

Relationship *

Name *

Relationship *

Name *

Relationship *

Photo Release Form

I give permission for photos are/or images of my child, captured through video, photo, and digital camera, to be used in connection with LCA. I understand that all photos and videos will become the property of LCA and will not be used for commercial gain. These recordings will be used in educational and promotional videos, presentations, CD-ROMS, newsletters websites, etc. i further agree that any additional reproduction may be published and distributed to the general public.

Name *

I understand and agree to the above state conditions.(electronic signature) *

Date *

LCA does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admission policies, scholarship programs, athletic and other school administered programs.

Submit

Please fill out the following four forms.
Each form can be completed and submitted separately, allowing you to fill out all 4 forms at four different times if the need arises.

Applicant Information

Parent/Guardian Information

Emergency Contact

Parent Interview

Student Questionnaire
*Only necessary for students 5th-12th Grades

Authorized Pick-Up

Photo Release Form

LAKESIDE CHRISTIAN ACADEMY | SLIDELL, LOUISIANA

Hours

Telephone

Email

SOCIAL

Please fill out the following four forms.Each form can be completed and submitted separately, allowing you to fill out all 4 forms at four different times if the need arises.

Applicant Information

Parent/Guardian Information

Emergency Contact

Parent Interview

​Student Questionnaire*Only necessary for students 5th-12th Grades

Authorized Pick-Up

Photo Release Form

LAKESIDE CHRISTIAN ACADEMY | SLIDELL, LOUISIANA

Hours

Telephone

Email

SOCIAL

Please fill out the following four forms.
Each form can be completed and submitted separately, allowing you to fill out all 4 forms at four different times if the need arises.

Student Questionnaire
*Only necessary for students 5th-12th Grades