Evangel Learning Center
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Application For Waiting List

Please complete the form below:



Basic Information
Child's Name:
Address:
City:
State:
Zip:
Home Phone:
Date Of Birth:
Admission Date:
Mother's Name:
Father's Name:
Your Email Address:

Additional Information
Applying For:

How did you hear about Evangel?

Are you being referred by another parent at the center: YesNo
If yes then who?

Did you or a family member attend Evangel Christian Academy? YesNo
If yes then who?

Are you a member of Shreveport Community Church? YesNo

Are you considering ECA for Elementary level grades? YesNo

What school do you plan for your child to attend?

Is your child completely potty trained? YesNo

Would you like to be added to our waiting list? YesNo


Submit To Waiting List