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Open House Registration

Required fields marked *

First and Last Name*

Answer required for "First and Last Name"

First and Last Name

Answer required for "First and Last Name"

Street Address

Answer required for "Street Address"

City

Answer required for "City"

State

Answer required for "State"

Zip Code

Answer required for "Zip Code"

Phone

Answer required for "Phone"

E-mail*

Answer required for "E-mail"

Student Name*

Answer required for "Student Name"

Current School (If Not Applicable please respond NA)*

Answer required for "Current School (If Not Applicable please respond NA)"

Grade for 2017-18 School Year*

Answer required for "Grade for 2017-18 School Year"

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

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

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

Answer required for "How did you hear about Mount Alvernia Academy? Please check all that apply."

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