LOWCF Academy – Apply – Light Of The World

Student's Information

First Name:

Middle Name:

Last Name:

Enrolment Year:

Age:

Date of Birth:

Grade at Enrollment:

Cell Phone:

Home Phone:

Street Address:

City:

State:

ZIP:

Father's Information

First Name:

Middle Name:

Last Name:

Cell Phone:

Text (Yes/No):

Home Phone:

Street Address:

City:

State:

ZIP:

Mother's Information

First Name:

Middle Name:

Last Name:

Cell Phone:

Text (Yes/No):

Home Phone:

Street Address:

City:

State:

ZIP:

Previous Schools Attended

Grades Attended:

Start Date:

End Date:

Street Address:

City:

State:

ZIP:

Grades Attended:

Start Date:

End Date:

Street Address:

City:

State:

ZIP:

Grades Attended:

Start Date:

End Date:

Street Address:

City:

State:

ZIP:

Home Church Information

Although church attendance is encouraged, it is not required to enroll in LOWCFA

Church Name:

Address:

City:

State:

ZIP:

Pastor's Name:

Church Phone:

How long have you attended:

How frequently do you attend:

How did you hear about LOWCFA?

Bilboard

Newspaper

Church Friend

Walk-in

Recruiter name:

Other:

I intend to communicate clearly with my student’s teachers and the administration concerning my student’s grades and behavior

I understand that it is a privilege, not a right, to attend Light of the World Christian Fellowship Academy. With this in mind, students must conduct themselves in a manner becoming a Christian at all times.

I understand that all new students are admitted on probation for the first nine weeks

I understand that the Lord Jesus Christ expects us to be disciplined in all areas of life.

I have read the Student Handbook paying special attention to all bold typed changes from any previous handbooks

I understand the rules and policies in the Handbook and as a parent and give Light of the World Academy faculty permission to carry out any disciplinary action in the afore mentioned handbook they deem necessary for my student

I will work cooperatively with the school whenever disciplinary procedures are deemed necessary

I will pay my tuition and fees in a timely manner to Guaranty Trust Bank A/C # 201-122425-1-1-0 and will communicate with the administration if there is any reason for delay in my payments

Medical Release

I give permission for LIGHT OF THE WORLD CHRISTIAN FELLOWSHIP ACADEMY to seek appropriate medical care for my child in the case I cannot be reached. This includes calling EMERGENCY or taking them to the hospital if necessary.

Should an emergency arise, it is understood that a conscientious effort will be made to locate, in order; all persons listed as emergency contacts on the registration form, before emergency action is taken.

I agree to provide a copy of my child’s IMMUNIZATION records to LOWCFA.

I agree that any expenses of emergency treatment, care and transportation are my financial responsibility.

Medical Information

Personal Physician:

Phone:

Allergies:

Insurance Provider:

Policy Number:

Emergency Numbers

Emergency Number 1:

Emergency Number 2:

Emergency Number 3:

Emergency Number 4:

Emergency Number 5:

Emergency Number 6:

Name:

Father

Mother:

Home:

Relationship:

Apply

LOWCF Academy | perseverance and compassion...

LOWCF ACADEMY STUDENTS APPLICATION

Student's Information

Father's Information

Mother's Information

Previous Schools Attended

Home Church Information

Although church attendance is encouraged, it is not required to enroll in LOWCFA

How did you hear about LOWCFA?

Medical Release

Medical Information

Emergency Numbers

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