Student Intent Form 2021-2022

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All LCA Students (except for Seniors) should complete this form of intent for the 2021-2022 school year. Please submit by Wednesday, April 28, 2021.

Email *

Last Name *

First Name *

Birthdate *

YYYY

Current Grade *

Parent Name *

Home Phone Number *

Parent Cell Phone Number *

Parent Email Address *

Home Address *

City *

Zip Code *

Please choose one of the following Options *

I plan to return to LCA for the 2021-2022 school year.

I plan to attend my home based school, Highland Rim School, for the 2021-2022 school year.

I plan to attend my home based school, South Lincoln School, for the 2021-2022 school year.

I plan to attend my home based school, Flintville School, for the 2021-2022 school year.

I plan to attend my home based school, Blanche School, for the 2021-2022 school year.

I plan to attend my home based school, Unity School, for the 2021-2022 school year.

I plan to attend Lincoln County High School for the 2021-2022 school year.

Other: I plan to attend another school outside of Lincoln County Schools for the 2021-2022 school year.

Required

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