*
Required
Please complete the following to begin the Lighthouse School application process.
Parent/guardian first name:
*
required
Parent/guardian last name:
*
required
Parent/guardian email address:
*
required
Parent/guardian phone number
Student first name:
*
required
Student last name:
*
required
Age of student:
*
required
Grade of student:
*
required
What schools has the student attended?
*
required
When are you hoping to enroll?
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required
Please Select…
As soon as possible
Next school year
Other
Why are you interested in Lighthouse School?
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required