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CU Registration

 
CU Registration Date
   
First Name  
Last Name  
Date of Birth  
Address  
City  
State  
Zip  
Phone  
Email  
 
Intended Major
 (This is where you will be placed for advising. If you’re not sure, choose “Open.”) 

 

Total number of attendees
(Including yourself)
 

 

If any of your visitors are Clarke alumni, please list their name(s) and relationship(s) to you.  
   
 
T-Shirt Size:
   

By registering for this visit program, I give Clarke University permission to use photos of me in any promotional materials, print or electronic.


 

 

 

  • Alumni Homecoming 2016
  • CONNECT 2016
  • IPCW 2016