*
Required
Parent First and Last Name
*
required
Name of student(s):
*
required
Email Address
*
required
Contact Phone Number
*
required
Street Address
*
required
City
*
required
State
*
required
Zip
*
required
List areas of interest for your student (theater, athletics, etc.)
Check this box if you plan to join your student on the tour at 1:00 p.m.
Check this box if you plan to drive your child home from the tour
I'd like someone to contact me to schedule a tour at the Lilburn campus
I'd like someone to contact me to schedule a tour at Providence Johns Creek
Complimentary Chick-fil-A Box Meal
We plan to provide your student with a complimentary boxed lunch during the visit. Please indicate any dietary restrictions or food allergies.
Chick-fil-A Boxed Lunch Options*
Grilled Nuggets
Regular Nuggets
Regular Sandwich
No Lunch
Comment or Question
Please send a confirmation email to the address below*: