Muskingum University: Admission

You may complete this form online and submit using the "Sign Me Up" button at the bottom, or print and mail to:

Muskingum University, Office of Admission
163 Stormont Street
New Concord, OH 43762

Reminder: There is a $20 charge per family, payable in advance or at the door.

Please register at least one week prior to the program you wish to attend. The program is the same for all six dates, so you only need to choose one. Questions? Call 800-752-6082.

May 29

May 30

May 31

June 4

June 5

June 6

First Name:	M. I.:
Last Name:
Street Address:
Apartment:
City:
	Zip:

Area Code & Phone:	-
E-Mail Address:
Gender:	Male Female

The following people will attend with me:

(1) Name: Relationship:

(2) Name: Relationship:

(3) Name: Relationship:

If anyone in your party has special needs or requires an accommodation, please contact us. Email tsaft@muskingum.edu, or call 800-752-6082.