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REGISTRATION

Section A: New Students

No Fee (CONNECT is mandatory for all new students. All meals listed on the schedule are included for new students.) 
Student Name:
Home Phone:
Cell Phone:
Student name, first and last, as
you would like it to appear on nametag:


Section B: Guests (parents and family members)
Parents are strongly encouraged to attend the Parent CONNECT Program. Other family members are also welcome.

The following meals are part of the Parent CONNECT Program:
Wednesday, August 25 - Lunch
Adults x $6.00 =
Children (10 and under) x $3.00 =

Mail this form and check (if applicable) by Friday, August 6, 2010, to:

Clarke University CONNECT Program
Student Life Office
1550 Clarke Drive
Dubuque, Iowa 52001-3198