Evening with Elon in Los Angeles, CA

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Relation to student

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Email

Parent/Guardian 1 mailing address same as student

Yes

No

Parent/Guardian 1 Mailing Address

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Street

City

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Postal Code

Would you like to provide a second parent/guardian?

Yes

No

Relation to student

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Email

Parent/Guardian 2 mailing address same as student

Yes

No

Parent/Guardian 2 Mailing Address

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Do you consider yourself to be Hispanic or Latinx?

Yes

No

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*Current School

CEEB

Admissions

Evening with Elon in Los Angeles, CA

Contact Information

Parent/Guardian Contact Information

Optional

Academic Interest

Current Academic Information