Fall 2023 Open House Registration:

Student Name Student Name First Last
Current Grade
Current School
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Number Phone Number - ### - ### ####
Parent/Guardian Parent/Guardian First Last
Parent/Guardian Email
Parent/Guardian Relationship to Student
Will you bringing anyone else with you to the event?
If yes, please list the names and relationships of any other guests attending
How did you hear about our Open House?
If you have any other information you would like to share with us, please include it here: