Choose One:

Fall Sea Aggie Preview November 19 and 20, 2009

Spring Sea Aggie Preview February 25 and 26, 2010

Name:

Check One:Male Female

Address

Address 2:

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code:

Phone Number: (XXX-XXX-XXXX)

Cell Phone Number: (XXX-XXX-XXXX)

Email Address:

Major Interest: General Academics Marine Biology Marine Sciences Marine Transportation Maritime Administration (business) Marine Engineering Technology Maritime Studies (liberal arts) Maritime Systems Engineering (coastal/civil engineering) Ocean and Coastal Resources Undecided

High School Attended:

High School Grade Level:

Choose One:

 I would prefer housing with a student host. (Only Senior students can stay with a student host.)

 I am interested in the Corps of Cadets and would like to spend the night with the Corps.

 I will make my own arrangements.

Fees

 Student Registration Fee ($25.00) Enclosed.

 Guest Registration Fee ($20.00 per parent/guest) Enclosed.

Number of Guests

Total. Please mail to address below.