1+1 Day Contact Form

Parent/ Guardian's Name*

First

Last

Parent Phone Number*

Parent Email*

Child's Name*

First

Last

Child's current Grade - PLEASE NOTE STUDENTS IN 12TH GRADE MAY NOT ATTEND THIS EVENT*

8th Grade
9th Grade
10th Grade
11th Grade

Area of the arts your child is interested in:*

School District (District of Residence)*

What session would your like to attend for 1+1 day?

Thursday, December 11th 8am - 10:30am
Thursday, December 11th 12pm - 2:30pm
Thursday, February 12th 8am - 10:30am
Thursday, February 12th 12pm - 2:30pm
Thursday, March 12th 8am - 10:30am
Thursday, March 12th 12pm - 2:30pm
Monday, April 20th 8am - 10:30am
Monday, April 20th 12pm - 2:30pm

Do you have a student you would like you child to shadow? If not, we will assign one to you!

Additional Information (Optional)

How did you hear about us?

Friend attends LIHSA
School District
Instagram/Facebook
Postcard/Mailing
Google Search

After completing this survey, you will receive a link to a permission slip that needs to be signed by your parent/guardian AND home district guidance counselor. You must return this permission slip before arriving at LIHSA.*

I understand I need a permission slip signed by parent/guardian AND home district guidance counselor.

Thanks for your interest in LIHSA 1+1 Day