Fall Family Weekend 2012 Registration Survey

1. Contact Person's Name

Contact Person's Name

2. Names of people coming with you

Names of people coming with you

3. Name of student you will be visiting

Name of student you will be visiting

4. Please list the names and ages of anyone under the age of 18 who will be attending Fall Family Weekend with you.

Please list the names and ages of anyone under the age of 18 who will be attending Fall Family Weekend with you.

5. Order Fall Family Weekend T-shirts here by listing the sizes and quantities needed. Shirts are $10 for sizes Adult Small, Adult Medium, and Adult Large; and $12 for sizes XL, XXL, and 3XL.

Order Fall Family Weekend T-shirts here by listing the sizes and quantities needed. Shirts are $10 for sizes Adult Small, Adult Medium, and Adult Large; and $12 for sizes XL, XXL, and 3XL.

6. If you ordered a shirt, when will you be picking it up?

If you ordered a shirt, when will you be picking it up? Friday 2pm-8pm at Check-in at the Richards Treat University Center

Saturday 8am-12pm at Check-in at the Richards Treat University Center

I did not order a shirt

7. Shirt Payment

Checks may be made payable to Millikin University and sent to:
Office of Student Programs
Millikin University
1184 West Main Street
Decatur, IL 62522

Shirt Payment

Checks may be made payable to Millikin University and sent to:
Office of Student Programs
Millikin University
1184 West Main Street
Decatur, IL 62522 I will pay via cash upon my arrival for Fall Family Weekend

I will pay via check upon my arrival for Fall Family Weekend

I will pay via check in advance