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Open House Registration

Required fields marked *

First and Last Name*

Answer Required

First and Last Name

Answer Required

Street Address

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City

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State

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Zip Code

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Phone

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E-mail*

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Student Name*

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Current School (If Not Applicable please respond NA)*

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Grade for 2017-18 School Year*

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Please list any additional students and their grades for the 2017-18 Academic Year.

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How did you hear about Mount Alvernia Academy? Please check all that apply.

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Online Search (e.g., Google)

Social Media (Facebook, Twitter)

Private School Review

Lawn Sign

Church Bulletin

Flyer at Preschool or Daycare

Friend or Family / Word of Mouth