Information Session Registration Form

Pittsburg	Manhattan	Topeka	Bonner Springs	Wichita	Salina	Hutchinson
June 11	June 12	June 17	June 18	June 19	June 24	June 26

Student's Name:
Mailing Address:
City, Zip
Email:
Phone:	xxx-xxx-xxxx
Student's current year in school
How Many Attending:
Location:

Student Affairs