Open House Registration Aug 1st and 3rd

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* 1. Name (First and Last name):

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* 2. Home Address:

Street

Street

City, State, zip code

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* 3. Home Phone Number:

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* 4. Email Address:

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* 5. Cell Phone Number:

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* 6. Check one:

Returning Student

New Student

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* 7. Have you completed the Free Application for Federal Student Aid (FAFSA)?

Yes

No

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* 8. Interested Program of Study:

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* 9. T-Shirt Size: