DU SPRING EVENT REGISTRATION FORM
Come join us on-campus for one of our upcoming on-campus Spring events.

Jan 19th- Spring Shadow Day-Check-In at 8:30am at PSB
Jan 20th-Spring Preview Weekend-Check-In at 11am at DUCIEF
Jan 20th-Scholars Reception-Check-In at 1pm at the Student Union
Mar 2nd-LOSFA Fly Tour-Check-In at 9am at PSB
Apr 7th-Dillard Decision Day-Check-In at 9am at PSB
Apr 7th-Scholars Reception-Check-In at 3pm at Student Union

First Name (Example: Marcus) *
Your answer
Last Name (Example: Jackson-Smith) *
Your answer
DU ID# (If applicable)
Your answer
Mailing Address (Example: 25 Cole St. Apt 8) *
Your answer
City (Example: Little Rock) *
Your answer
State (Example: AR, not Arkansas) *
Your answer
Zip Code (Example: 71234) *
Your answer
Email (Example: myemail@email.com) *
Your answer
Primary/Cell Number (Example: 504-816-4670) *
Your answer
Would you like to receive text messages from us? *
Current School Name (Example: KIPP Sunnyside) *
Your answer
Current Grade Level *
Academic Area of Interest *
Which on-campus event will you attend? *
Required
Thank you for registering to attend one of our upcoming events. We look forward to seeing you soon!
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