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| Middle Initial: |
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| Last Name: |
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| Address: |
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| State: |
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| ZIP Code: |
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| E-mail: |
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| Home Phone: |
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Please indicate your date choices below:
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| Choose your 1st Date Choice: |
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| Choose your 2nd Date Choice: |
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How many people will be attending with you?
(Complimentary lunch is provided to student and two guests. Lunch is available for additional guests for $7.50 per person.) |
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By checking this box, I affirm that I am an accepted, first-time freshman.
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