Senior Days Registration

• Which Senior Days will you be attending?*

  • Fall
  • Spring
• First Name*
• Last Name*
• Gender*

  • Male
  • Female
• Address*
• City*
• State*
• Zip*
• Home Phone*
• Cell Phone*
• Email Address*
• What is the best way to contact you?*

  • Home Phone
  • Cell Phone
  • Email
  • Other
• If OTHER, please list
• Birthday* 010203040506070809101112 / 01020304050607080910111213141516171819202122232425262728293031 / 20132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913
• T-Shirt Size* SmallMediumLargeX-LargeXX-Large
• High School you attend*
• High School Graduation Year* 201320142015201620172018
• Is this your first visit to Welch College?*

  • Yes
• Academic Interest* Select:BiologyBusinessEducationEnglishExercise ScienceScienceHistoryMissionsMusicPastoral MinistryPre-LawPre-NursingPsycologyYouth Ministry
• Would you like to meet with a coach from the Athletic Department?*

  • Yes
  • No
• If YES, select which sport:* BaseballMen's BasketballWomen's BasketballCross CountryGolfVolleyball
• Anticipated Enrollment Date Select:Fall 2013Spring 2014Fall 2014Spring 2015Fall 2015
• Home Church*
• City*
• State*
• Is there a current Welch College student that you would like to stay with?*
• Please list the parents or sponsors who will be attending with you (seperate with commas)*
• Comments:

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