* 1. First Name

* 2. Last Name

* 3. Email Address

* 4. Birthdate

Date
/
/

* 5. Street Address

* 6. City

* 7. County

* 9. Zip Code

* 10. Year of High School Graduation

* 11. High School 

* 13. Desired Visit Date

Date 
/
/
**Visits are available on Saturdays at 10:00am ONLY. They will begin on Saturday, September 9th. There are no visits offered on Sundays.

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