STUDENT'S INFORMATION

Last Name

First Name

Current School

Current Grade

Street Name and Number (or PO Box, if applicable)

City, State Zip Code

Home Phone # (please include area code)

Cell Phone #

Student's Email Address (e.g., name@aol.com)

PARENT and/or GUARDIAN INFORMATION

Father's Last Name

Father's First Name

Address (if different from above)

Street Name and Number (or PO Box if applicable)

City, State, Zip Code

Home Phone # (if different from above)

Cell Phone #

Email Address (e.g. name@aol.com)

Mother's Last Name

Mother's First Name

Address (if different from above)

Street Name and Number (or PO Box if applicable)

City, State, Zip Code

Home Phone # (if different from above)

Cell Phone #

Email Address (e.g. name@aol.com)

Hold down the control key to select multiple items
 

How did you hear about Lehman High School?

Name of the Personal Referral

Which of the following are you interested in doing as part of your consideration of Lehman? (Select all that apply)

Your student is interested in these extracurricular activities

Your student is interested in these Athletic Activities

What do you need to know about Lehman before enrolling. Select all that apply.

Please let us know abut any additional questions you have.

I appreciate your taking the time to complete this online Prospective Student form that will enable us to follow up with you and better know your interests and desires in a high school education. Please select the submit button to send us this form. Thank you.

Denise Stauffer, Principal