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2026-2027 LLCA Required Parent Registration and Permissions for All Students

Please complete the form below. Required fields marked with an asterisk *

The information in this form must be completed annually for each current LLCA student. 

 
Lake Lure Classical Academy is required by the state and federal government to collect much of the personal information in this form. All information is confidential and is not shared with anyone
 
In order for our school to qualify for Title 1 funds,  it is very important for us to get the economic data requested in the last section of this form. Additionally, this is how students qualify for free or reduced lunch through our school food truck. We understand that a small percentage of parents are reluctant to disclose financial information on a document or form. Because of this, we have not marked section 7 as "required" information. However, if you choose not to complete section 7, please call the office and speak to the Data Manager to let us know if your student would qualify as economically disadvantaged.
 
* denotes required response

Section 1 of 7

Contact Information

Is there any legal custody paperwork for this student? Please mark yes if there is legal custody paperwork due to a divorce, student adoption, or any other specific situation that would impact who has access to your student.
Answer required for "Is there any legal custody paperwork for this student? Please mark yes if there is legal custody paperwork due to a divorce, student adoption, or any other specific situation that would impact who has access to your student. "

County of Residence

Section 2 of 7

Media and Photographic Release Information

Occasionally, we will have an opportunity for photos of Lake Lure Classical Academy students to be featured in news articles, news releases, school newsletters, school websites, social media, or DoJo (for elementary students). We love to share the exciting happenings at LLCA. 

I give my permission for my student to be photographed or taped, visually or orally by school personnel, approved media personnel, or others authorized by the school.
Answer required for "I give my permission for my student to be photographed or taped, visually or orally by school personnel, approved media personnel, or others authorized by the school. "

Section 3 of 7

Transportation Information

LLCA transports students to and from athletic games, practices, field trips and off-site activities during the school year. This form serves as permission for transportation. You will be informed prior to your student traveling by bus. 

By clicking below, I am indicating that I agree to the above statement in regards to transportation. (If you do not agree with the above statement in regards to transportation, please contact our front office.)
Answer required for "By clicking below, I am indicating that I agree to the above statement in regards to transportation. (If you do not agree with the above statement in regards to transportation, please contact our front office.)"

Section 4 of 7

Policy Agreement

I am aware that Lake Lure Classical Academy has code of conduct guidelines: dress codes, academic standards, attendance policy, Chromebook agreements, etc. All of these can be found on the website at llcharter.org in the Student / Parent Portal under the Student Handbook button. Compliance with these standards is implicit upon registration at Lake Lure Classical Academy. 

Please see the school policies on the website: llcharter.org>parents>school policies
 
North Carolina has recently introduced restrictions on student cell phone use in public schools. Effective January 1, 2026, House Bill 959, signed into law by Governor Josh Stein, prohibits student cellphone use during instructional time, with exceptions granted by teachers. Because of this new bill, LLCA is adding additional policies concerning the use of cell phones. You will be notified when the student handbook has been updated to include these policies. 
By clicking below, I am indicating that I understand the above statement and agree to comply with the policies and procedures as stated in the Student Handbook for school year 2025-2026.
Answer required for "By clicking below, I am indicating that I understand the above statement and agree to comply with the policies and procedures as stated in the Student Handbook for school year 2025-2026."

Section 5 of 7

Student Medical Services

Knowing that LLCA personnel will take utmost care of my student's safety, I understand that accidents do occur and that in such a situation, immediate steps must be taken to secure my student's health.

I authorize LLCA representatives to seek medical attention for my student should an emergency arise, provided that I will be contacted as soon as possible. I further agree that LLCA or their representative will be held harmless in the event of accident or injury. I understand that LLCA disclaims any and all liability in the unlikely event of injuries sustained at any LLCA sponsored activity or event.
Answer required for " I authorize LLCA representatives to seek medical attention for my student should an emergency arise, provided that I will be contacted as soon as possible. I further agree that LLCA or their representative will be held harmless in the event of accident or injury. I understand that LLCA disclaims any and all liability in the unlikely event of injuries sustained at any LLCA sponsored activity or event. "
Does your student have any known medical conditions that that LLCA should be aware of?*
Answer required for "Does your student have any known medical conditions that that LLCA should be aware of?"
1. My student has been diagnosed by a medical provider with the following: (Check all that apply)
Answer required for "1. My student has been diagnosed by a medical provider with the following: (Check all that apply)"
3. Does your student take routine medications?
Answer required for "3. Does your student take routine medications?"
4. Does your student need to take medication(s) at school? Please note that in order to administer any medication at school, we must have a Request to Administer Medication form completed by a licensed health care provider.
Answer required for "4. Does your student need to take medication(s) at school? Please note that in order to administer any medication at school, we must have a Request to Administer Medication form completed by a licensed health care provider."
5. Do you need a copy of the Request to Administer Medication Form for your student? These are available on the website at: llcharter.org>parents>school forms and resources>LLCA medication form.
Answer required for "5. Do you need a copy of the Request to Administer Medication Form for your student? These are available on the website at: llcharter.org>parents>school forms and resources>LLCA medication form."
6. Has your student had a head injury resulting in a concussion in the past year?
Answer required for "6. Has your student had a head injury resulting in a concussion in the past year?"

Section 6 of 7

Military Connection (required for State of NC reporting)

Does your student have an immediate family member involved in the military (active or retired)?*
Answer required for "Does your student have an immediate family member involved in the military (active or retired)?"
If yes, which immediate family member is involved in the military?
Answer required for "If yes, which immediate family member is involved in the military?"
Status
Answer required for "Status"

Section 7 of 7

2026-2027 Household Income Reporting (required for Title I funding)

We are required by the State of North Carolina to report test results for the following student groups: ethnic origin, students with disabilities, English language learners, and students identified as economically disadvantaged. To report on the economically disadvantaged subgroup, household income information must be collected. All information in this section is confidential and maintained by office personnel only

 
Students attending public schools including charter schools may be eligible for supplemental education services, resources, and opportunities based on the size and income of the household in which they live. Please complete this form to help your child's school determine whether your child(ren) may qualify for additional educational support.
 
While it is very important for us to get the economic data, we understand that a small percentage of parents are reluctant to disclose financial information on a document or form. Because of this, we have not marked this as "required" information on the form. However, if you choose not to complete this section, please call the office and speak to the Data Manager to let us know if your student would qualify as economically disadvantaged.
Which option below best describes your household size.
Answer required for "Which option below best describes your household size. "
Select the option that best describes your household's yearly income. The income thresholds are generated by the federal government. Our school receives Title I funds based on this information.
Answer required for "Select the option that best describes your household's yearly income. The income thresholds are generated by the federal government. Our school receives Title I funds based on this information."

Thank you for completing this form!