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Last Name:

Preferred First Name:

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Gender:Male
Female

Street Address:

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Graduation Year:

Major Interested In:

I am interested in meeting with the coach of:

I am interested in meeting with the music director of:

Visit Date

Parent Name(s) if coming

Friend Name(s) if coming with a friend

Model Release: By checking this box, I agree that I may have photos taken of me and used in marketing materials for the College. I understand that any photos will only be used at the college for the College, and will not be sold to any third party.

Liability Release: By checking this box, I recognize that this Release means I am giving up, among other things, the right to sue Crown College, its board of directors, employees, or agents for injuries, damage, or losses I may incur while on campus.

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