Lionheart Academy Application
Application for admission to Lionheart Academy, Benton, KS 
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Email *
Student's Name
Last, First
*
Date of Birth *
MM
/
DD
/
YYYY
Gender
First and Last name of at least one parent *
Parent email address *
Address *
Parent 1 Phone *
Parent 2 Phone
Currently Attending *
Required
If attending public or private school, 
Name and phone number of current school and current grade
*
We understand that Lionheart Academy is a Christian school and students will be exposed to and taught Biblical Christian principles. *
Required
Please add any other information about your child that you feel may be relevant, or that you would like to share.  *
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