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 mswasta@elmira.edu.
*Session Dates
 Saturday and Sunday - June 28th and 29th
 Thursday and Friday - July 10th and 11th
 Thursday and Friday - July 24th and 25th

Student Registration
*Student First Name
Student Middle Name
*Student Last Name
'18
*Name Preferred on Name Tag
'18
*Address
*City
*State
*Zip Code
*Home Number
*Cell Number
*Email Address
*Shirt Size
Special accommodations (Housing, Mobility, Hearing, etc.)
Please describe in detail
Special food accommodations   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
1) Middle Name
*1) Last Name
*1) Relationship to student
*Name Preferred on Name Tag


*Address
*City
*State
*Zip Code
*Home Phone Number
Daytime Phone Number
*Email Address
*Will Additional Parents or Guardians be attending ?   
   If so, there is a $75 charge per additional attendee
Special accommodations (Housing, Mobility, Hearing, etc.)
Please describe in detail
Special food accommodations
Please describe in detail
*Number of reservations for residence hall living (including the student)


 





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  Elmira College | One Park Place | Elmira, New York 14901 | admissions@elmira.edu
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