|
You have requested to enroll in the following event:
|
|
Title
|
San Diego Vanderbilt & You
|
|
Date/Time
|
Sunday, April 22, 2012
1:00 PM - 2:30 PM
|
|
City/Metro Area
|
San Diego, CA
|
|
Location
|
Sheppard, Mullin, Richter & Hampton, LLP
12275 El Camino Real, Suite 200
San Diego CA 92130
|
|
|
To enroll, please complete the form below. (*Required)
|
| *Student's First Name |
|
| Student's Middle Name |
|
| *Student's Last Name |
|
| Student's Preferred Name |
|
| *Street 1 |
|
| Street 2 |
|
| *City |
|
| State |
|
| State/Province if OTHER |
|
| Zip/Postal Code |
|
| *Country |
|
| *Student's Area Code |
|
| *Student's Phone Number |
|
Country Code
(if non-U.S. phone number) |
|
| *Student's Email |
|
| Gender |
Female
Male
|
| Date of Birth |
|
| Total number of people in your party |
|
| *High School Name |
|
| High School ETS Code |
|
| High School City |
|
| High School State |
|
| *High School Graduation Year |
|
| *First-Time Freshman or Transfer? |
|
|
|
|
|
