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REGISTER TO ATTEND

Please complete the student registration form below to confirm your attendance.

Coming from Springfield or Holyoke? click here for information about a free bus to Smith.

If you would like to register a group of students please click here.

First name:

*

Last name:

*

Address:

*

City:

*

State:

ZIP Code:

Nation:

 *

Phone:

*
(xxx-xxx-xxxx)

E-mail address:

*

High School:

*

Graduation Year:

*

Transfer student?

Yes

Date of birth:

- -

(Month-Day-Year)

Number of others attending:

  (family, friends, etc.) *

E-mail address for parent/adult accompanying you:

Will you or anyone in your party need...
  Disability related accomodations? Yes
  Dietary related accomodations? Yes
  Vegetarian accomodations? Yes

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