Senior Preview Day Afternoon Session

Student Information

Student Legal First Name*

Student Preferred First Name (only if different from Legal Name)

Student Last Name*

Birthdate*

Gender

Female

Male

Student Mailing Address* (Please include Apartment # if applicable)

Country

Street

City

Region

Postal Code

Email Address*

Confirm Email Address*

Student Cell Phone Number*

Home Phone Number (if available)

Opt in for Texting*

Yes

Parent/Guardian Information

With whom do you reside?*

Parent

Guardian

Parent Type*

Father

Mother

Step-Father

Step-Mother

Parent First Name*

Parent Last Name*

Parent Email*

Guardian First Name*

Guardian Last Name*

Guardian Email*

Admission