We would like more information about: *
(desired month/day for a shadow, visit, or tour)
Student's Name: *
Student's Name:
Current Grade: *
(& expected high school graduation)
Student's Interests: *
(please list specifics in the box below)
(specific activities, clubs, sports, or other interests)
Parent/Guardian's Name: *
Parent/Guardian's Name:
Parent/Guardian's Phone Number: *
Parent/Guardian's Phone Number:
Email Communications: *
Would you like to receive email reminders about upcoming Lutheran Westland summer camps and admissions events?
Referral & Research Sources: *
(check any items that you found helpful)