COLLEGE DAY REGISTRATION

Friday, October 17th, from 8:30 a.m. to 4:00 p.m.

Come for a day at Westmont College where you will get a glimpse of what life could be like for you! Meet faculty, staff, and current students, take a tour of campus, and enjoy the beautiful setting of Santa Barbara!

CONTACT INFORMATION

Student First Name

Student Last Name

Student Email

Phone

Mailing Address

Mailing City

Mailing State

Postal Code

STUDENT INFORMATION

Student Type

Attending Term

Dietary Restrictions

Academic Field of Interest

Are you planning on staying on campus overnight?

No, I will not need overnight accommodationsYes, I will stay with a friend at WestmontYes, please arrange a student host for me

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Phone

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Phone

Total Number of Guests (including you)

Do you have a coupon code?

YesNo

Enter Code:

PAYMENT

The $25 dollar fee covers a meal for you and your guests, along with other fun activities!

Price

Name on Card

Billing Address

Billing Address City

Billing Address State

Billing Address Zip

Card Number

Code

Any questions or comments you'd like us to know?

HIDDEN FIELDS

Form ID

Contact Information