EmailMe Form - Fall Open House Registration

Name *

First MI Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

County *

Phone *

### - ### - ####

Email *

Confirm

Planned Major *

High School *

High School Graduation Year *

(Enter 4-digit year, e.g., 2014)

Are you attending Open House as an individual or Group? *

Individual

Group

Number attending: *

(Include total number of students and adults attending)