Britton Deerfield Student Application for 2025-2026

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LISD TECH Center
1372 N. Main Street
Adrian, MI 49221
517-265-1659
www.lisd.us/lisd-tech-center

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

School Attending *

Current Grade *

Student Home Phone

Student Cell Phone

Student E-mail Address

Name(s) of Parent/Guardian Student Lives With *

Parent/Guardian E-mail Address

First Choice *

Second Choice

Preferred Session *

I have discussed my decision to enroll in a program at the LISD TECH Center with my parent/guardian. *

I have discussed my decision to enroll in a program at the LISD TECH Center with my high school counselor. *

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