Thank you for your interest in attending an Open House with the GeorgeSquared program.

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* 1. First Name

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* 2. Last Name

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* 3. Email address:

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* 4. Please list the college/university you attend(ed)

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* 5. If you are currently enrolled, what year are you?

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* 6. Which Open House would you like to attend?

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* 7. How many people (including yourself) will attend the Open House?

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* 8. Do you have any food allergies?

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