This pleat is for Emergency Contact Information.

You may now add an emergency contact by clicking the "Add New Emergency Contact" button.

Please enter Emergency Contacts. Do not enter Parent/Guardian(s) here if already entered in Parent/Guardian section.

Enter the contact information for this emergency contact.

At least one Phone Number is required.*

Home Phone

Cell Phone

Work Phone

By clicking the "Save/Continue" button you will enter the next tab, in this case, "Student Enrollment Information." You may now continue with the application, or leave and return later by using the link in the original email sent to you.

Return to OLR main page