Fall Open House

Student First Name

Student Preferred First Name

Student Last Name

Student Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Student Mobile Phone

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Yes

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Entry Term

Student Type

High School Name

CEEB Code

Academic Interest 1

Academic Interest 2

Parent Mobile Number

Parent Email Address

How many people will attend (including student)?

Please indicate if you or a family member may need special assistance (e.g. dietary restrictions or accessibility issues):

Admissions