January Orientation Registration Form

Please submit this form by Thursday, January 8, 2009.

Note: Fields marked with an asterisk (*) are required.

* Your Name: Preferred Name: * E-mail address: Cellphone Number: Your Information

You are invited to bring your parents/family/guests with you to Orientation. It is helpful for planning purposes to know how many people wil be attending. Please list the name and relationship of those attending the Orientation. Name: Relationship: Name: Relationship: Name: Relationship: Name: Relationship: List any special dietary or other needs for anyone in your party: Other Information

Security Image: * Enter the Code from the Security Image: If you returned to this page to correct errors, you will need to refresh the Security Image Security Information

Questions? Please contact the Student Involvement Office at (740) 368-3198 or dklamp@owu.edu.