This form will be used to help reserve your place for the Open House program.

Please provide the following information:
First Name:   
Last Name:   
Gender: Male Female
Student ID:
Date of Birth:
Phone:
Address:
City/State/Zip ,   
County:
High School:
email (for confirmation)

Select the date you wish to attend the open house below:
Saturday, April 26, 2014

Event to attend:  (event participating in)
What About My Folks?
LWC's Open House is for parents and guardians also.
Guest's Name:  
(relationship)
Guest's Name:  
(relationship)