Westminster Bound Event

Monday, July 12, 2021 at 12:30 PM until 4:00 PMEastern Daylight Time

Westminster College
319 South Market Street
New Wilmington, PA 16172
United States

REGISTRATION FORM

STUDENT INFORMATION

Preferred/ Nickname

First Name

Last Name

Birthdate

Westminster Student Email Address

If you do not have a Westminster.edu email address, please contact your Admissions Counselor for assistance.

Personal Student Email Address

Student Mobile Phone

Do you give us permission to send you text messages about this event?

Yes

Academic Interest

ADDITIONAL VISIT INFORMATION

How many guests do you plan to bring?

Guest 1 Name:

Guest 2 Name:

In an effort to better accommodate your visit,
please note any special requests and/or needs.

ADD EMAIL RECIPIENT FOR VISIT CONFIRMATION

Additional Email Address for Visit Confirmation