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Thank you for your interest in Immanuel Lutheran Christian Academy!

At ILCA we walk alongside families as we strive to "prepare servant-leaders to shape the world through Christ's example". We look forward to having the opportunity to serve your family.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Work Phone
  • Cell Phone *
Home Address
  • Street Address *
  • City *
  • Country *
  • State
    *
  • Zip
    *
  • Home Phone *
  • How Did You Hear About Us? *
    Details:
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  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *
  • Current School
    Other:
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  • Is There Another Student?
    Yes No
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  • Parent / Guardian Notes
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