LSMSA Exploration Day Registration Form
Exploration Day is an excellent opportunity for you to get a first-hand look at what LSMSA is all about. Take a tour of the campus, visit classes in session, discuss areas of study with the faculty, and meet current LSMSA students. Registration is open to students in grades 8-11.
Date you plan to attend: *
We try to schedule these events for days that most schools are on break for holidays such as Veteran's Day, Martin Luther King Day, and Presidents' Day. We also provide an excuse note for students who are missing school to attend.
Total number of guests attending: *
Include prospective student.
Your answer
Student's First Name: *
Your answer
Student's Preferred Name (if different from above):
Your answer
Student's Last Name: *
Your answer
Student's Current School: *
Your answer
Student's Current Grade: *
Student's Date of Birth: *
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Student's Email Address: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Parish: *
Your answer
Parent/Guardian 1 First Name: *
Your answer
Parent/Guardian 1 Last Name: *
Your answer
Parent/Guardian 1 Email Address: *
Your answer
Parent/Guardian 1 Cell Phone: *
Your answer
Parent/Guardian 2 First Name:
Your answer
Parent/Guardian 2 Last Name:
Your answer
Parent/Guardian 2 Email Address:
Your answer
Parent/Guardian 2 Cell Phone:
Your answer
Will Special Accommodations be Requested for the Student or Guests?
Handicap Accessibility, Visual Impairment, Additional Transition Time Between Classes, etc.
Do you know a student who we should contact with more information about LSMSA? If so, please list their name and any contact information that you have.
Your answer
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