Teacher Required Registration Forms

indicates a required answer

Permission for Treatment and Liability Form

Please print out the Permission for Treatment / Liability have the form notarized, and BRING IT to Open House (preferable) or turn in on the first day of classes.

Teachers with children at LCHA only need to complete one Treatment and Liability Form per family.

Photo / Video Release Form

I hereby authorize Lighthouse Christian Homeschool Academy, hereafter referred to as "LCHA", and other news outlets permission to use photographs or videos taken of my child/children as well as his/her/their name in any and all of its publications including but not limited to all LCHA’s printed and digital publications. I understand and agree that any photograph using my child’s likeness will become property of LCHA and will not be returned.

I acknowledge that since my participation with LCHA is voluntary I will receive no financial compensation. I waive any right to royalties or other compensation arising or related to the use of the photograph.

I hereby irrevocably authorize LCHA to edit, alter, copy, exhibit, publish or distribute photos or videos for purposed of publicizing LCHA’s programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finish product, including written or electronic copy, wherein my likeness appears.

I hereby hold harmless and release and forever discharge LCHA and other news outlets and their employees/contractors from liability for any claims, demands, and causes of action by me or any third party in connection with their participation.

If I choose to not authorize LCHA to publish photos or videos of my child/children or his/her/their name in any of its printed publications, videos and digital publications, some such photos may still be published in the Lighthouse Christian Homeschool Academy YEARBOOK and the Private LCHA Facebook page which allows access to only currently enrolled LCHA Families.

1. *

Please select from the choices below:

I DO give my authorization.

I DO NOT give my authorization.

2. *	Electronic Teacher Signature:

3. *	Date:

Background Check

Please click on the link below to complete the Background Check information. Clicking this link will open in a new tab.

Teachers with children at LCHA do not need to complete the Background Check Form if it was completed with Family Registration.

Teacher Handbook Signature

Please read the current LCHA Handbook: LCHA Teacher Handbook

* Note: You can print this document or readily refer to it online, as needed, via the LCHA Website.

4. *

I acknowledge that I have read the LCHA Teacher Handbook and agree to abide by the policies and procedures therein.

Electronic Teacher Signature:

Member Handbook Signature

Please read the current LCHA Handbook: LCHA Member Handbook

* Note: You can print this document or readily refer to it online, as needed, via the LCHA Website.

5. *

I acknowledge that I have read the LCHA Handbook and agree to abide by the policies and procedures therein.

Electronic Teacher Signature:

W-9 Tax Forms

Print and complete the required W-9. Please bring the first page only with you to Teacher Orientation.

Contact Information:

6. *	Phone Number:

7. *	Email: