Visiting Student Request for Registration in a Brown Course.  
Please complete the requested information completely and accurately.  The Brown Registrar's Office will confirm this information directly with the Brown instructor to verify that it is appropriate and permitted to register you for the course.  Please do not complete this form unless you have already reached out to and obtained permission from the Brown instructor.

Use this form for only one course.  If you plan on taking more than one course, please submit this form once for each course.

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Last Name: *
First name: *
Email address: *
Have you registered for a Brown course in a previous semester? *
If you answered "Yes" above, please provide your Banner ID if you have it.
What school are you visiting from? *
If you have not taken a course before, please provide the following (which are required to admit you as students into our database): Date of birth, legal sex, are you a US citizen (and, if not, country of citizenship)? *
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