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Experience C.O.W Days

To register online for an Experience C.O.W Days, please complete the following registration form at least one week prior to the program or call 1-800-877-9905. Confirmation material will be sent via email to the email address provided.

The * indicate fields required to submit your request

Please select one of the following:*
Friday, June 27, 2008
Friday, July 11, 2008
Friday, July 25, 2008
Friday, August 15, 2008

First Name:*

Last Name:*

Gender:*
Male Female

Street Address:*

City/Town:*

State:*

Zip Code:*

Telephone (with area code):*

E-Mail Address:*

High School Name:*

Year of Graduation:*

Please list first and last names of all guests joining you:

Guest #1:
Guest #2:
Guest #3:

Any additional guests:

Please indicate three academic programs you would like to learn more about:

Interest #1
Interest #2
Interest #3

Please indicate three extracurricular activities you would like to pursue in college:

Interest #1
Interest #2
Interest #3

Additional Comments: