Admitted Student Gathering

* Indicates a required field

Student's Information

Student's First Name*

Student's Family Name (Last, Surname)*

Student's Preferred Name

Student's Name Suffix

Birthdate*

Please describe

Guest Information

Will you have a guest or guests accompanying you to the event? Space is currently limited to 2 guests per admitted student

Yes

No

Please indicate the number of additional guests visiting (excluding the visiting student)*

DeleteGuest Information _ID_
Guest's Information
Note: Name tags and other materials will be prepared for your guests using the information you provide. Guest's First Name* Guest's Family Name (Last, Surname)* Guest's Preferred First Name Guest's Dietary Needs Guest's Dietary Needs Vegetarian Vegan Gluten-Free Food Allergy Other Please describe

Add another guest

Contact and Address Information

Student's Email Address*

Student's Daytime Phone*

Student's Mobile Phone

Is it OK to send text reminders to the above number related to this event?*

Yes

No

Parent/Legal Guardian Email (for additional communication)

Permanent/Home Address*

Country

Street

City

Region

Postal Code

Do you have a mailing address that is different from your permanent/home address (such as a boarding school address)?*

Yes

No

Mailing Address*

Country

Street

City

Region

Postal Code

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Relationship to Student*

Emergency Contact Phone Number*

Admitted Student Gathering - Portland