Open House Registration - Elementary

Parent Contact Information
* First name, last name, preferred contact method and email are required.
Parent First Name:*
 Preferred Contact Method:*
Home
Work
Cell
Email
Parent Last Name:*
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Email:*

Student Information
Student 1:
First Name Last Name
Date of Birth (MM/DD/YYYY) Grade
Current School Attending
Student 2:
First Name Last Name
Date of Birth Grade
Current School Attending
Student 3:
First Name Last Name
Date of Birth (MM/DD/YYYY) Grade
Current School Attending
Student 4:
First Name Last Name
Date of Birth (MM/DD/YYYY) Grade
Current School Attending
After attending our Open House, are you willing to participate in a 5-minute online Open House survey? *
Yes No, thanks

If yes, we will email you a link shortly after Open House.