We are looking forward to hosting you on campus!
* First Name
* Last Name
* Address 1
* Zip/Postal Code
* Phone Number
* Email Address
Preferred Method of Contact(We will send your confirmation via email)
Current High School or College
Year of High School Graduation
*Major of Interest
*Choose a Kuyper Experience Day
Are you planning on bringing family and/or friends?
Name(s) of parents / guests who will be joining you (as they would like it to appear on the name tag)