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Fall Visit Day Registration

 

* - Required  
First name:*
M.I.:
Last name:*
Street/route/box number:*
City:*
State:*
ZIP code:*
Home phone:*
Email:*
High School:
Grad year:
Academic interests:
Other interests:
(i.e. volunteering, clubs)

 

Athletes
If you are interested in talking with a coach, please indicate which sport(s):

 

Music Lessons
Students who are interested in majoring in music may request to have a lesson on their primary instrument with a faculty member. Due to high demand, vocalists will often observe the lesson of a current Lawrence student.

I would like a lesson with a faculty member on my primary instrument
Primary Instrument:

 

Fall Visit Day (choose one):*
Monday, October 13
Friday, October 17
Friday, October 31
Monday, November 10

Total number attending
(including student):*

 

Special Requests: