Register for Student Activities events by completing this registration form.

WHAT EVENT WOULD YOU LIKE TO REGISTER FOR?

Event Name:
Date:
Time:

YOUR INFORMATION (*Denotes required information)

*Last Name:
*First Name:
Date of birth (mm/dd/yy):
*Home Address:
*City:  
*Zip:
Phone:
*E-mail Address (to send confirmation):

PLEASE TELL US MORE ABOUT YOURSELF

Are you (pick one)

Current C.O.D student
Current C.O.D student club/organization officer
C.O.D Alumnus
C.O.D faculty/staff
Community member

How did you learn about this event (check all that apply)

E-mail from C.O.D.’s Leadership Listserv
Poster in a C.O.D. classroom
Poster in a C.O.D. lounge
On C.O.D.’s web site
On C.O.D. club web site
Word of mouth
In the Courier newspaper
Class announcement
Announcement at club/organization meeting
Other (please describe)