Explore Luther Day

To register for this event, please fill out the following form.

* = Required field

Student First Name*

Student Preferred Name

Student Last Name*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Student Email Address*

Parent Email Address (to be used for visit confirmation and reminder emails)

Student Home Phone

Student Cell Phone

Would you like to receive admissions updates via text message?*

Yes

High School*
(please select your high school from the drop-down menu that will appear as you type)

CEEB Code

Year you plan to enter college*

Select the number of individuals who will accompany you*

Guest 1

First Name*

Last Name*

Guest 2

First Name*

Last Name*

Guest 3

First Name*

Last Name*