Skip Navigation
 

Request Information

Hello, and thank you for your interest in Lipscomb Academy!   Please fill out the form below and one of our Admissions Specialists will contact you regarding your inquiry.

Please note the following regarding admissions for our SEED School:

SEED School applicants must be age appropriate for his/her designated grade level by August 15, 2019, of the enrollment year.
      *Early Childhood students must be 2-years-old or 3-years-old by August 15, 2019 
      *PreK students must be 4-years-old by August 15, 2019 
     *Kindergarten students must be 5-years-old by August 15, 2019 

We have many opportunities for you to visit our campus and learn about all of the wonderful happenings at Lipscomb Academy.  We invite you to come and see!

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation
  • Email Address *
  • Gender
    Male    Female
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation
  • Email Address *
  • Gender
    Male    Female
  • Cell Phone
    (Ex: 999-999-9999)
Home Address
  • Street Address *
  • City *
  • Country *
  • State *
  • Zip *
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Us? *
    Details:
  •  
  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Email Address
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Student Interests
    Athletics
    Fine Arts
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  |     |   Create an Account   |   Online Application / Login   |   Request Information
Powered by FACTS Student Information System, Providers of Online Application