Open House Registration

Parent First Name:

Parent Last Name:

Email Address:

Phone Number:

Student First Name:

Student Last Name:

Summer of Interest:

Grade Student entering in September 2024:

Day or Overnight Program:

I would like to attend the Open House on
Thursday, April 18, 2024 at the following time:

I am interested in learning about programs for:

Ages 4-10:

Ages 11-14:

Grades 9-12:

Other Specific Interests:

Referral Source or Name:

I would like to stay informed of future Open House events