Chatsworth Hills Academy

Reservation Request Form

School Open House
Saturday, January 28, 2012
1:00 p.m.
Please fill out the form to RSVP.

Thank you for your interest in Chatsworth Hills Academy.

Registration Information *Required Fields

*First Name:
*Last Name:

*Address:
*City:
*State and Zip Code:
*E-mail:
*Daytime Phone:
Evening Phone:

*# of People Attending:	Adults: Children:

Age and Grade Level of Children:	Age: Grade Level: Age: Grade Level: Age: Grade Level: Age: Grade Level:

How did you hear about this event:	Newspaper Ad Postcard or Flier Email Jen's List Website Friend or Family Member Social Media

Please keep me informed of upcoming events at CHA.
Yes, I'd like to receive information on topics regarding education, such as enforcing good study habits, test-taking strategies, etc.