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Destination Success Reservation
(for On-Campus Orientation)

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The program will be held in the Student Center (Building B), Room B-204. Check-in begins 20 minutes prior to the start time.
Persons arriving more than 10 minutes after the start time will need to reserve a space for the next available session.
The orientation session will last approximately 3.5 hours.
 
* = Required Field
 
* Which Session are You Planning to Attend?
 
   
  * First Name:
 
* Last Name:
 
Address:
 
 
City:
 
* State:
 
Zip Code:
 
* Phone: Example: 123-456-7890
 
* Birthdate:  [None] Select a Date Delete the Date
 
* Email:
 
Major/Field of Interest:
 
  * If you are attending the July 20, 2016 session, how many of your parent(s) will also attend?
   
     
 
  *  I understand that I cannot bring guests or parents to any session unless it is the July 20, 2016 session where I am a High School Student bringing my parent(s).