MARCH TRINITY 360 REGISTRATION

March 23, 2013 - TRINITY 360 REGISTRATION

**March 23, 2013 Trinity In Focus**
*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:

Overnight Stays On Campus -

Students attending the T360 may spend the night in university housing with a current student either the Friday preceding or the Saturday of the program. Spaces are limited and will be filled on a first-come, first-served basis. Requests should be made at least two weeks in advance.

Please note that Friday and Saturday overnight positions have reached capacity.

**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 or Questions: