Lakewood Catholic Academy
On-Line Inquiry Form

Yes, I'd like to learn more about the opportunities
for my child at Lakewood Catholic Academy!

If you would like to receive more information, please fill out the form below and we will contact you.  You may also call Paul J. Nickels, Director of Admissions, at 216.521.0559, extension 3028.

Parent or Guardian Information

Name(s)

Address

City, State & Zip Code
Preferred Phone Number
Preferred Email
How would you prefer to be contacted? Phone     Email

About Your Child or Children
Child Number 1 Name:
Year of Entry (Pre-K through Eight)
Child Number 2 Name:
Year of Entry (Pre-K through Eight)
Child Number 3 Name:
Year of Entry (Pre-K through Eight)
Child Number 4 Name:
Year of Entry (Pre-K through Eight)

General Information
How did you learn
about Lakewood Catholic Academy?
Check all that apply.		   Current Student or Family
    LCA Website
    Alumni Student or Parent
    Other. Please specify:
What is your parish affiliation?   St. Clement
   St. James
   St. Luke
   No Parish Affiliation
   Other. Please specify:
What are you most interested in knowing
about Lakewood Catholic Academy?
Check all that apply.		   Academic Program
   Religious Education/Spiritual Opportunities
   Extracurricular Activities
   Financial Aid
   Other. Please specify:

THANKS AGAIN FOR YOUR INTEREST IN LAKEWOOD CATHOLIC ACADEMY.
Click the "submit" button below, or click "reset" to clear the form and start over.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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