I have been admitted to Lyon College and will attend the day checked below:

Mailing Address:

City:     State:     Zip: 

High School: 

Class Rank & GPA: 

Emergency Contact: 

E-mail: 

Phone: 

ACT/SAT Score: 

Please list the names of
those attending with you

We will need complimentary accommodations.

No, I am unable to attend