APRIL TRINITY 360 PROGRAM REGISTRATION

APRIL 17, 2010 - TRINITY 360 REGISTRATION

**April 17, 2010 Trinity 360 °**
*Classification
*First Name:
*Last Name:
Preferred Name:
*Gender:
Date of Birth:	(MM/DD/YYYY)
Email:
*Mailing Address:
Address Line 2:
*City:
*State/Province:
*Zip Code:
*Country:
*Home Phone Number:	(Include Area Code)
*Daytime Phone Number:	(Include Area Code)
*Year of High School Graduation:
Current High School or College:
High School or College City and State:

Additional Information:
Name(s) of Parent/Guardian(s) attending, if any: 1) 2)

Do you or any of your guests have any special facility access or dietary needs?

Additional Comments:

Special Options

Overnight Stays On Campus: Availability limited to Seniors attending Trinity 360. Participants may spend the Friday night before the program or that Saturday night on campus. Please fill out this form or call at least two weeks prior to the program to request an overnight stay since spaces are arranged on a first-come, first-served basis. The Office of Admissions will make every effort to honor all requests, but we may be unable to accommodate requests received within two weeks of the program. Please contact Brady Kosel in the Office of Admissions at 800-TRINITY with any questions about the overnight program.

No, I'll pass.

Yes, I would like to spend the night on campus.

I would prefer to stay:	Friday night	Saturday night

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APRIL 17, 2010 - TRINITY 360 REGISTRATION

Special Options