If multiple dates/times are possible for you, please let us know more about your availability.
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Total number of guests attending: *
Please include prospective student in your count. All attendees must wear masks.
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Prospective Student's First Name: *
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Prospective Student's Preferred Name (if different from above):
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Prospective Student's Last Name: *
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Prospective Student's Current School: *
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Prospective Student's Current Grade: *
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Prospective Student's Date of Birth: *
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Prospective Student's Email Address: *
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Street Address: *
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City: *
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State: *
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Zip Code: *
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Parish: *
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Parent/Guardian 1 First Name: *
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Parent/Guardian 1 Last Name: *
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Parent/Guardian 1 Email Address: *
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Parent/Guardian 1 Cell Phone: *
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Parent/Guardian 2 First Name:
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Parent/Guardian 2 Last Name:
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Parent/Guardian 2 Email Address:
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Parent/Guardian 2 Cell Phone:
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Will Special Accommodations be Requested for the Prospective Student or Guests?
Handicap Accessibility, Visual Impairment, Additional Transition Time Between Classes, etc.
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Yes, Please Contact Me Regarding My Situation
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Do you know another prospective student who we should contact with more information about LSMSA? If so, please list their name and any contact information that you have.
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