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Accepted Student Nursing Reception

Wednesday, March 5, 2025 at 6:00 PM until 8:00 PMCentral Standard Time UTC -06:00

Student Information

Student First Name*

Student Middle Name

Student Last Name*

Student Date of Birth*

Student Email Address*

Number of Guests:*

Parent/Guardian Information (Optional)

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Relationship to Student