Lion Revival Homeschool Academy Application Form

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* 1. Parent/Guardian Name

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* 2. Parent/Guardian Email Address

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* 3. Parent/Guardian Phone Number

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* 4. Home Address

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* 5. Child's Name

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* 6. Child's Age

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* 7. Child's Grade Level

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* 8. Select the courses you want to register your child for (Select all that apply)

Mathematics

Science

Reading

English Language Arts (Writing and grammar)

History

Art

Spanish

Bible Study

Other course you would like to see:

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* 9. Additional Comments about Your Child

If you have more children, please submit this form and submit new forms for each child. Thank you!