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Student Information:

(Please complete a separate application form for each student applying to NLCS)

Last Name (required)
First Name (required)
M.I. (required)

Street Address (required)
City/State/Zip Code (required)

Home Phone (required)

Email

Grade applying for in
2016-2017 / 2017-2018(required)

 

Please answer the following questions:

Is this student a child of a current NLCS Staff member?

Is this student a sibling of a currently enrolled student at NLCS?

How did you hear about us?

 

Parent/Guardian Information:

Mother / Father / Guardian (required)
Phone (required)

Email

Street Address (required)
City/State/Zip Code (required)

Mother / Father / Guardian (optional)
Phone

Email

Street Address
City/State/Zip Code

 

Parent/Guardian Electronic Signature (required)
Date (required)