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Student Virtual Tour Registration Form

If you'd like to take a tour of Exceptional Minds, please fill out the form below. Unless specified, all tours are virtual. It is recommended but not required that prospective students attend the tour to receive an application. If you need to cancel or reschedule your tour feel free to fill out this form again. Please note: if a required field does not apply to you, please put "n/a".

Step 1

Student First Name^*

Student Last Name^*

Student Birthdate

Student Email^*

Student Phone Number ^*

Address^*

City^*

State^*

Zip Code^*

Parent/Guardian First Name^*

Parent/Guardian Last Name^*

Relationship to Student^*

Parent/Guardian Phone Number^*

Parent/Guardian Email^*

Parent/Guardian Address (if different from student)

In which program(s) are you interested?

Full Time Summer Workshops Saturday Workshops Private Lessons Extension Program

How did you hear about Exceptional Minds?

Other, please specify

Tour Dates

Opt Out

Please check this box if you do not wish to receive our newsletter or updates about our programs. If you do not check this box, you will automatically be added to our email list.

Student Virtual Tour Registration Form

Step 1

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