SOAR

Student's First Name

Student's Last Name

Student's Date of Birth

Student's Personal Email Address

Student's Cell Phone Number

Emergency contact name

Emergency contact phone

Emergency contact relationship to you

Do you need any special accommodations? If so, please explain.

Do you have any dietary restrictions/food allergies?

Will your parent(s) or guardian(s) be attending the Parent & Family Orientation program?

Yes

No

If so, how many family members will be attendance?

Will your family members be staying for the complimentary lunch?