• This name will be used to create your name tag at the event. Please, no monkey business.

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  • Gender*
  • Academic sessions run simultaneously; therefore, you can choose only one session to attend. We do have prospective students who visit two presentations by session hopping in hope of catching another group before they are completed. Hop at your own risk.

  • This email will be used for your registration confirmation. If you do not have an email, create one at one of the many email websites, or use a friend's or counselor's email. A confirmation email will be sent within three working days. If a confirmation email does not arrive, call us to ensure that your registration for Time-out for Tech was received. 800-582-6953 or 479-968-0343

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  • Guests do not include other seniors attending the event. They should also be completing this form.