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Register now for 2015 Muskie Preview
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

Note: The Muskie Preview program is free for the student. The first guest will be charged $20 and each additional guest will be charged $10.

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

Select your preferred and alternate dates, fill in the sections below, and click "Sign Me Up!"
Preferred Date*   Alternate Date*
Please make a selection.

* required
Please make a selection.

Reminder: Your tuition deposit must be paid in advance of the date selected in order to finalize your Muskie Preview registration.

First Name:* Please list your first name.      M. I.: 
Last Name:* Please list your last name.
Street Address:
Apt./PO Box:
City:        Zip: 

E-Mail Address:
Please check your e-mail address, it doesn't look right.
Gender:  Male      Female

The following people will attend with me:
(1) Name:     Relationship:     + $20
(2) Name:     Relationship:     + $10
(3) Name:     Relationship:     + $10

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