Open House Registration — Immaculata-La Salle High School

Student

Parent/Guardian

Review

Student Information

Tell us about the student attending the Open House.

First Name*

First name is required.

Middle Name (optional)

Last Name*

Last name is required.

Have you ever attended an ILS Open House?*

Please make a selection.

If so, when? (Year)

Please tell us what year.

Student's Current Grade Level*

Please select a grade level.

Student's Date of Birth*

Date of birth is required.

Student's Gender*

Please make a selection.

How Many People Attending (incl. student)?*

Please enter a number.

School CURRENTLY Attending*

Not listed? Just type the school's name.

Please enter the student's current school.

Current PowerSchool Number*

This school is part of the Archdiocese of Miami — please provide the student's PowerSchool #.

PowerSchool number is required for Archdiocese of Miami schools.

How Did You Hear About the School? (Select all that apply)*

Please select at least one option.

Parent/Guardian Information

Contact details for the parent or guardian registering the student.

Salutation*

Please make a selection.

First Name*

First name is required.

Last Name*

Last name is required.

Address*

Address is required.

City*

City is required.

State*

Please select a state.

ZIP*

ZIP is required.

Home Phone*

Home phone is required.

Cell*

Cell phone is required.

Office Phone (optional)

E-Mail Address*

A valid email address is required.

Review & Submit

Please confirm everything below is correct before submitting.

✓

Registration Received

Thank you for registering for the ILS Open House. We look forward to meeting you and your family!