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Accepted Students Day Registration

Sunday, March 28, 2010

Section I: Event Registration Information

Will your family be attending?*

How many total including yourself will be attending?*

Do you plan on attending Mass at 4:30 p.m.?*

Section II: Student Contact Information

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Email*

Gender*

Home Phone*

Cell Phone

Section III: Student Academic Information

High School*

Graduation Year*

High School City*

High School State*

Possible Major*

Other comments or special requests

Fields marked with * are required.

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Mount St. Mary's University • 16300 Old Emmitsburg Road, Emmitsburg, MD 21727 • Phone: 301-447-6122
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