Manchester College Summer Orientation Reservation Form

SUMMER ORIENTATION RESERVATION - TUESDAY, AUGUST 13, 2013

Priority will be given to reservations received first. You will receive a letter confirming your reservation.

* Denotes Required Field

First name*

Last name*

Gender*

Female
Male

Mailing address*

City*

State*

Zip*

E-mail*

Home phone

Cell phone

Names of parent(s) or guardian(s) planning to attend

Please verify your intended academic major*

Secondary intended major, if applicable

Special circumstances or additional comments