Register

First Name*

Last Name*

Address*

City*

Zip Code*

Home Phone*

Student Email*

Student Cell #*

Date of Birth mm/dd/yyyy*

Ethnicity

Language Spoken at Home

Allergies

Parent/Guardian Name*

Parent/Guardian Email*

Parent/Guardian Cell #*

School Attending*

Graduation Date*

Advisor/Counselor Name*

Why do you want to take this class?*

How did you hear about Out of Site?*

What other activities or organizations are you involved in, if any?*

Have you ever applied for an Out of Site class and not gotten in?* Yes No

Have you taken an Out of Site class before? If so, which?*

How many classes do you plan to take?*

If you are applying to the photography class, do you have your own manual 35mm camera?* Yes No

Are you interested in applying to one of the Spring Break opportunities? If so, which?*

Spring 2012 Session runs from Wed Jan 25 – May 8