Smith Mountain Lake Academy Feasibility Questionnaire

Dear Parents, Liberty Christian Academy is considering building a K-12 satellite school called LCA at Smith Mountain Lake that would afford all the benefits of LCA, Lynchburg to school children in our area. Your participation by signing this petition, would indicate the level of interest in our community and determine if this initiative becomes a reality here at Smith Mountain Lake. All of the benefits of Liberty Christian Academy would be available to LCA at Smith Mountain Lake. More information on academics, accreditation, programs, philosophy, athletics and more can be found at: http://www.lcabulldogs.com/

Questions marked with a * are required.

 
*1. If Liberty Christian Academy were to build a K-12 Facility to be open next year: 1 (lowest) 10 (highest)
1 2 3 4 5 6 7 8 9 10
My interest in enrolling would be
 
*2. Parent's First Name
 
*3. Parent's Last Name
 
*4. Student 1: Name
 
*5. Student 1: Gender
Male
Female
 
*6. Student 1: Grade for Fall 2010
P
K
1
2
3
4
5
6
7
8
9
10
11
12
 
7. Student 2: Name
 
8. Student 2: Gender
Male
Female
 
9. Student 2: Grade
P
K
1
2
3
4
5
6
7
8
9
10
11
12
 
10. Student 3: Name
 
11. Student 3: Gender
Male
Female
 
12. Student 3: Grade
P
K
1
2
3
4
5
6
7
8
9
10
11
12
 
13. Student 4: Name
 
14. Student 4: Gender
Male
Female
 
*15. Address
 
*16. City
 
*17. State
 
*18. Phone
 
*19. Email