Enrollment Request
Thank you for your interest in our schools. This is the first step in the enrollment process. Please fill out the following information. After it is received, one of our team members will reach out to you with more information and be able to answer any questions


If you want to find more information about our schools, please refer to the links below:

www.Deltacharter.org
www.lighthousecharterschool.org


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Email *
School Name *
Student First Name *
Student Last Name *
School Year Applying for *
Grade Level for the school year applying for *
Student Birthdate *
MM
/
DD
/
YYYY
Previous School Attended (if applicable)
Parent First Name *
Parent Last Name *
Parent Phone Number *
Parent E-Mail
Parent Street Address
Parent City
Parent Zip
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