Lighthouse Academy Registration Child’s Name Date Of Birth Street Address City ZIP Parent’s Name Email Phone 708 E. Veterans Parkway • Yorkville, II.14959 Van Dyke Road • Plainfield, II. Start Date Please select the days your child will attend: MTWThF InfantToddlerTwosPreschoolPre-KLil Scholars Preschool KindergartenBefore & After School Subject Your message (optional) Mail/Deliver To: 708 E. Veterans Parkway • Yorkville, II. 14959 Van Dyke Road • Plainfield, II.