Registration Form

Last Name:

First Name:

Address:

City:

State:

Zip:

Cell Phone Number:

Home Phone Number:

Can We Text You?

Yes

No

Email:

Verify Email:

Gender:

Male

Female

Birthdate:

Are you interested in living on campus:

Yes

No

College Major:

Admissions Status:

First Time Freshman

Transfer

Semester Enrolling:

Are you interested in registering for Fall 2021 classes at this event:

Yes

No

Number of Guests attending (please do not count yourself in the number):

Year of High School Graduation/GED:

Name of High School:

Name of Career/Tech Center (if attended):

Athletic Interest:

Select a T-shirt Size:

Event Information

How did you hear about our Summer Open House?

How did you hear about our Summer Open House: