How to Enroll – LSLA

Tell us about you and your family.

Parents Name *

Child's Name

Date of Birth

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Day Time Phone Number

Email *

Mother's Employer

Father's Employer

How did you learn about LSLA?

When do you need care?

Which School does your child attend currently?

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