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2019 Cardinal Pride Orientation Registration Form
Created April 2018
ver1.0.1
This request will be emailed to Stephanie Moreno at stephanie.moreno@tvcc.edu
Last Name:
*Required
First Name:
*Required
MI:
Home Mailing Address:
City
State:
Select State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code:
Date of Birth:
*Required
Contact Phone:
*Required
E-mail:
*Required
Which session are you planning on attending?
Thursday, July 11, 2019
Saturday, July 27, 2019
*Required
*Check-in for both days will be from 8:30-9:00 am
at the Administration Building.
Will there be a friend or family member/s attending the orientation with you?
Yes
No
*Required
If 'Yes', how many?
None
One
Two
Three
Four
Five or more
*Required
Cost to Attend
STUDENT: $35.00/per person
GUEST: $10.00/per person
*Cost includes all program materials, lunch, and Cardinal Pride shirt.
Payments are due at the door but can be paid ahead of time via the TVCC Business Office at (903) 675-6269
Disability?
If you have a disability for which you require special accommodations during Cardinal Pride Orientation, please contact:
Melinda Berry at (903) 675-6224 or email mlberry@tvcc.edu