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Preview Day Registration


I plan to attend Preview Day on:*
Personal Information
First Name:*
Last Name:*
Preferred Name:
Gender:
Student Email:*
Street Address:*
City:*
State:*
Zip Code:*
Home Phone:*
Student Cell Phone:
I will enter college as a:
Current School Information
High School Name:*
High School Graduation Year:*
High School City and State:*
College Name:
(required only if a transfer student)
Additional Information
Area(s) of academic interest:
Extracurricular interest(s):
Guests attending Preview Day with you
Guest 1:
First and Last Name, Relationship
Guest Email:
(optional)
Guest 2:
First and Last Name, Relationship
Additional Guests:
Please list the names of additional guests below
T-shirt Size:*
Please indicate your t-shirt size below
How did you hear about this Preview Day?*
Please select all that apply. Hold down the Ctrl key to select more than one.

    
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