*
Required
Parent/Guardian's First Name
*
required
Parent/Guardian's Last Name
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required
Phone
###-###-####
Student 1 First Name
Student 1 Last Name
Student 1 Grade Applying To:
Please Select…
7
8
9
10
11
12
(Optional) Student 2 First Name
(Optional) Student 2 Last Name
(Optional) Student 2 Grade Applying To:
Please Select…
7
8
9
10
11
12
(Optional) Student 3 First Name
(Optional) Student 3 Last Name
(Optional) Student 3 Grade Applying To:
Please Select…
7
8
9
10
11
12
Tour Signup
I would like to sign up for a tour at: (choose all that apply)
Middle & High School (7-12)
High School ONLY (9-12)
How did you hear about HBA?
(Select all that apply)
Referral
Newspaper
Radio
TV
Movie Theater
Website/Social Media
Other
Please describe how you heard about us:
Please send a confirmation email to the address below*: