We are looking forward to hosting you on campus!

    * Denotes required fields

    * First Name


    * Last Name


    * Address 1


    Address 2


    * City


    * State/Province




    * 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)   

    Are there any dietary restrictions we should be aware of?:    
    If yes, please list name(s) of person(s) with dietary restriction and restriction details    
    Overnight Visit   
       Overnight visit will start at 4:30 P.M. on Thursday evening. You will begin the Kuyper Experience Day at 8:30 A.M.  




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