School of Arts & Sciences/School of Nursing
Café Friday
Registration Form
March 15, 2013
2:00 PM
first name:
last name:
street:
city:
state:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
zip code:
home phone:
cell phone:
e-mail:
high school:
h.S. graduation date:
Does your HS have a catholic affiliation?
Yes
No
i will be a:
Freshman
Transfer
CNR activities:
Campus Ministry
Drama Society
Chapel Choir
Gospel Choir
Newspaper
Peer Ministry
Student Gov't
Volunteer Work
Need shuttle service from Metro-North Station?
Yes
No
i am interested in:
sports:
Basketball
Cross Country
Softball
Swimming
Tennis
Volleyball
Cheerleading
number of guests:
0
1
2
3
4