Registration Day Form
2008-2009 Enrolling Freshmen

Student Information




First Name:

Last Name:
Gender: Address:
City:

State:

Zip:
Home Ph:

Cell Ph:

  
Email: Intended Major:  

Registration Information

  Please select a Registration Day: 

 Parent or Family Member Reservation

  Number attending:

  First Name & Last Name Relationship
to student
Person 1:
Person 2:
Person 3:
Person 4:
  Would you like to have an individual meeting with our financial aid department?