High School Visit Form

High School dates

Please select the date when you would like to attend an upcoming Informational Visit.

Thursday, October 22

Thursday, November 12

Tuesday, December 8 (evening visit)

Student Name *

Date of Birth *

Month

Day

Year

Street Address *

Street Address 2

City/Town *

State *

Zip Code *

Current School *

Current Grade *

Day or Residential? *

Day

Residential (grades 9 – 12)

Undecided

Desired Program and Year of Entry *

Summer 2021

Fall 2021

Summer and Fall 2021

Extracurriculars

Please list 1-2 hobbies, interests, or other activities of the student.

Will the student be attending the visit (High School only)? *

	Yes	No
Will the student be attending the visit? (High School only.) *	Will the student be attending the visit? (High School only.) - Yes	Will the student be attending the visit? (High School only.) - No

Parent(s)/Guardian(s) Attending *

Total number of attendees *

Preferred email address *

Preferred phone number *

Thank you for your interest in Landmark School.

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