Admitted Student Day

Student First Name*

Student Preferred First Name, If Different

Student Last Name*

Student Birthdate*

Student Mailing Address*

Country

Street

City

Region

Postal Code

Student Mobile Phone Number

Would you like to receive text messages from Edgewood University? You can opt-out at any time. (Standard text messaging rates apply).*

Yes

No

Student Email Address*

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Relationship

Student High School*

Year of Graduation*

Anticipated Enrollment Term*

Anticipated Enrollment Year*

If other, please list

Due to spacing issues, students may only bring up to one guest to their Admitted Student Day. Please indicate below if you will be bringing a guest. Note that Parent/Guest programming will be available during the event!

Number of Guests*

Will you or your guest require any specific accommodations during your visit, including dietary needs? If so, please describe below.

I hereby grant Edgewood University the irrevocable right and permission to use photographs and/or video recordings of me on university and other websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me.

I understand and agree that such photographs and/or video recordings of me may be placed on the Internet. I also understand and agree that I may be identified by name and/or title in printed, Internet or broadcast information that might accompany the photographs and/or video recordings of me. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all digital files are and shall remain the property of the University.

I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has approved this release.

I agree