Summer Registration
Elmira College accepts signups for Summer Registration through this secure form. Please complete the form below and press the 'Submit' button to indicate your attendance to Summer Registration.
Fields marked with an (*) are required.
Session Dates
Please select each program date 1-3, one being your top choice. A confirmation of your date will be forthcoming. HOWEVER, if you are unable to attend a date listed, please select "NO" by it and provide rationale for selecting "NO". Space is limited at each program; therefore we use the numbers to place you in a subsequent program if your choice is unavailable. An early response will help to secure registration in the program of your choice. Should you have any additional questions, please contact
orientation@elmira.edu
.
*Session Dates
1
2
3
NO
Saturday and Sunday - June 27th and 28th
1
2
3
NO
Thursday and Friday - July 9th and 10th
1
2
3
NO
Thursday and Friday - July 23rd and 24th
Student Registration
*Student First Name
First Name is Required
Student Middle Name
*Student Last Name
'19
Last Name is Required
*Name Preferred on Name Tag
'19
Preferred Name is Required
*Address
Address is Required
*City
City is Required
*State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Ontario
British Columbia
Yukon
Alberta
State is Required
*Zip Code
Zip Code is Required
*Home Number
Phone Number is Required
*Cell Number
*Email Address
Email Address is Required
*Shirt Size
S
M
L
XL
XXL
XXXL
Special accommodations (Housing, Mobility, Sign Language, etc.)
Please describe in detail
Food Allergies
Please describe in detail
Parent or Guardian Registration
Since this program is intended for parents and guardians, we are unable to accommodate additional family or guests.
*1) First Name
First Name is Required
1) Middle Name
*1) Last Name
Last Name is Required
*1) Relationship to student
Relationship is Required
*Name Preferred on Name Tag
Preferred Name is Required
*Address
Address is Required
*City
City is Required
*State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virgina
Wisconsin
Wyoming
Ontario
British Columbia
Yukon
Alberta
State is Required
*Zip Code
Zip Code is Required
*Home Phone Number
Phone Number is Required
Daytime Phone Number
*Email Address
Email Address is Required
*Will Additional Parents or Guardians be attending
?
Yes
No
Special accommodations (Housing, Mobility, Sign Language, etc.)
Please describe in detail
Food Allergies
Please describe in detail
*Number of reservations for residence hall living (including the student)
Dorm living count is Required
Must be a number
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processed.
Elmira College | One Park Place | Elmira, New York 14901 |
admissions@elmira.edu
© 2024 Elmira College
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