*Updated 2025 Jan* LIS Initial Registration

Lighthouse International School Registration Form

Lighthouse GL, Inc.
All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.
Day School Registration
Time Schedule

Half dayFull dayFull day with After-school ClassFull day with After-school Class and Extended careOther
Which days?

MondayTuesdayWednesdayThursdayFridaySaturdayOther
With Lunch?

YesNo
Seasonal Classes (Winter/Spring/Summer/Fall School) Registration
Time Schedule

Half dayFull dayFull day with After-school ClassFull day with After-school Class and Extended CareOther
Week Program?

One weekTwo weeks
Which days?

MondayTuesdayWednesdayThursdayFridaySaturdayOther
With Lunch?

YesNo
Student Information
First Name*
Last Name*
Gender*

FemaleMale
Birth Date*

MonthDayYear
Mobile Phone*
Address*

Street Address

Apt. No. and Building Name

CityDistrict e.g. Minato-Ku

Postal CodeCountry
Parent/Guardian Information
Full Name (Parent 1/Person filling out the form)*

First NameLast Name
Relationship to the child:*

MotherFatherGuardianOther
Mobile*
Occupation*
Company*
E-mail*
Address - Same As Child*

YesNo
If your address is different than the child's please fill out the info below. Otherwise, move onto the next section.
Parent 1 Address

Apt. No. and Building name

Street Address Line

CityDistrict, e.g. Minato-Ku

Postal / Zip CodeCountry
Full Name (Parent 2)*

First NameLast Name
Relationship to the child:*

MotherFatherGuardianOther
Mobile*
Occupation*
Company*
E-mail*
Address - Same As Child's

YesNo
If your address is different than the child's please fill out the info below. Otherwise, move onto the next section.
Please upload a photo of your child:

Browse Files

Cancelof
Does your child have any siblings?*
If yes, kindly indicate the age:
Does your child have any allergies?*
All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.
How did you learn about our school?*
How do you think Lighthouse International School can help your child?*
Any other comments?
Which afterschool class are you wanting to register for?

Young Mozarts (Music)Tales from A to Z (Phonics with Drama)Rhythm and Phonics (Phonics with Music)Turn the Beat Around (Dance Class)Young Picassos (Art Class)Young Einsteins (Science and Numeracy)Let's Move and Be Healthy (Gym Class)Piano one-on-oneGuitar one-on-oneUkulele one-on-oneSinging and Voice Training (minimum of 3 students)Art Class (minimum of 3 students)Extended care (right after 2 Afterschool sessions)One-on-one lessons
Should be Empty:

Lighthouse International School Registration Form

Day School Registration

Seasonal Classes (Winter/Spring/Summer/Fall School) Registration

Student Information

Parent/Guardian Information