For More Information – Leo High School

Current School

Student First Name

Student Last Name

Student Birthdate

Current Grade

Parent/Guardian Name

Address

Home Phone Number

Parent Cell Phone Number

Student Cell Phone Number

Student Email Address

Parent Email Address

Preferred Method for Leo to communicate with you, choose one:

email

home phone

cell phone

Do you have a home computer?

yes

no

Academic Interests (Check all that apply):

List other academic interests:

Extracurricular Interests (Check all that apply):

List other extracurricular interests:

Do you have a relative or friend currently enrolled at Leo?

yes

no

What is the friend/relative's name?

Do you have a relative who is an alum of Leo?

yes

no

What is the relative's name?