Louisiana Tech University - Office of Admissions::Orientation Online Registration (Parent)

Note: All fields indicated by an "*" are required.

Student Contact Information

SSN *

(ex. 999999999)

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Country *

Home Phone *

(ex. 3182572238)

Mobile Phone Number

(ex. 3182572238)

Reservation Details

Number of Attendees

Parent Name

e-Mail

Parent Name

e-Mail

Registration Fee Payment

Registration Fee: 1 - person $35.00; 2 - persons $60.00

NOTE: A State Service Charge for credit card payments has been provided for by ACT 148 of the Louisiana Legislature. The University considers that the credit card payment option is an important benefit to our students. A 2% State Service Charge is assessed on credit card payments. The State Service Charge has been designed to cover costs and the University earns no profit from this fee.

Registration Fee Total: 1- person $35.70; 2 - persons $61.20

Cardholder Name *

Card Type *

Card Number *

Expiration Date *

Month	Year