Housing & Residential Life | College for a Weekend Registration

College for a Weekend

Registration

Student Name:
Student Address:
Student City, State, Zip:
Student Phone:
Student Email:
High School/ Community College:
Student Gender:	Male Female
Parent/Guardian Name:
Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Phone #:

Do you have special dietary needs?:	Yes No
If yes, please Indicate:
Shirt Size:
Potential Major:

Do you have a parent/guardian who plans to attend the Parent Reception on Thursday at 6p.m.?
Yes No
If yes, please provide their name(s):

California State University, Stanislaus
One University Circle, Turlock, CA 95382