Loudoun Country Day School Admissions FormPlease enable JavaScript in your browser to complete this form.Student's Name *FirstLastStudent's Preferred NameStudent Gender *FemaleMaleBirthdate *Student will enroll in (Year/Month) *Entering Grade *Home Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome Phone *Parent #1 Name *FirstLastRelationship *MotherFatherGuardianOtherEmail *Mobile Phone *Occupation *Business NameBusiness PhoneIf there is a second parent, please complete the information for Parent #2. Parent #2 NameFirstLastRelationshipMotherFatherGuardianOtherEmailMobile PhoneOccupationBusiness NameBusiness PhoneStudent lives withBoth parentsMother onlyFather onlyMother and stepparentFather and stepparentOtherWho is financially responsible for the child?Applicant's Current School *Siblings (Name, Age, School Attending)Are any of the siblings alumni/ae of LCDS? (Name/year)How did you hear about LCDS?If referred, by whom?Has your child been recommended for educational testing? *YesNoWhere may results be obtained? I attest that all the information provided on this application form is accurate. *AgreeA $75 nonrefundable application fee is required with this application. If an enrollment contract is offered, a nonrefundable deposit is required for enrollment. This enrollment deposit reserves a place for the applicant and is applied toward tuition charges. It is understood that students are enrolled for the entire school year unless the enrollment contract is withdrawn prior to June 1. *I understand a $75 nonrefundable fee is required with this application.Billing Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeApplication Fee *Price: $ 75.00Stripe Credit Card *CardName on Card If you are having difficulty submitting your form, please check that you have answered all required questions and checked the CAPTCHA box. If the problem persists, please email cara.doherty@lcds.org with a description of the error. Thank you for your interest in applying to LCDS. Submit