AMDA Open House: Los Angeles

Biographical Information

Student First Name*

Student Last Name*

Lived Name (More Info)

Birthdate*

How many guests do you plan to bring with you to this event?*

Contact Information

Email*

Mobile Phone Number*

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Address*

Country

Street

City

Region

Postal Code

WhatsApp Number

Would You Like to Add Information for a Parent/Guardian?

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Parent/Guardian Information
Relationship to You* First Name* Last Name* Email* Phone*

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Would You Like to Share Your Social Media Handles?

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Facebook Handle*

Instagram Handle*

Snapchat Handle*

Threads Handle*

TikTok Handle*

X (Formerly Twitter) Handle*

YouTube Handle*

High School Information

Name of High School*

Graduation Date*
If you do not have an exact date, please provide month and year and select '1' for day.

How Did You Hear About AMDA?*

Program Information

Campus*

Degree Type*

Area of Study*