Parent Reception Registration

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Loyola College in Maryland:
Fall/Spring 2007-08 Parent Receptions

Thank you for your interest in Loyola's Regional Parent Program. Please complete the registration form found below and indicate the reception(s) you wish to attend.

Father's First Name

Father's Last Name

Mother's First Name

Mother's Last Name

Student's First Name

Student's Last Name

Parent's Home Address «

City «

State «

Zip Code «

Parent's Phone Number «

Parent's E-Mail Address «

Reception Attending «

Philadelphia - Wednesday, February 27

Long Island - Thursday, February 28

Baltimore - Wednesday, March 12

Connecticut - Friday, April 4

Boston - Thursday, April 10

Number Attending Reception «

Name(s) of Those Attending Reception «

Comments

Fields marked with "«" are required.