FALL: Friday, Nov. 5, 2010
SPRING: Friday, Feb. 25, 2011

Student's Name      

Address     

City              
        
State                      Zip    

Phone Number (   )   

E-Mail Address  

Year of Graduation          

School Name            

Potential Major

Church Name

Total Number in Party Attending Open House    

You will receive a confirmation of your registration, with directions, in the mail.

Thank you!