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Premier Weekend Registration Form
Visit Registration Form:
1.
*

Choose a date:

 (1 required)
October 10 - 11 October 24 - 25
November 7-8 November 21 - 22
January 23 - 24 February 13 - 14
March 20 - 21 April 3 - 4
Other
2.

If other, what dates would you like to visit?
3.
*

First Name
4.
*

Last Name
5.

Phone Number
6.
*

Street Address
7.
*

City
8.
*

State
9.
*

Zip Code
10.

What High School did you attend?
11.
*

High School Graduation Year
12.
*

Transfer Student?

 (1 required)
Yes No
13.

If yes, what school(s) did you attend?
14.

Major
15.

Extra-curricular Interest
16.

While on campus I would like to speak with
17.

While on campus I would like to stay with
18.
*

I will arrive on campus:
Thursday night by 8:00 Friday morning at 9:00

**Note**  If you are coming on an individual visit we will make time arrangements
19.
*

My parents will be accompanying me
Yes No
* Enter Your Email Address:
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