Admitted Student Day - Class of 2029

Student Information

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Sex

Are you Hispanic or Latino?

Yes

Race: (Check all that apply)

Contact Information

Email Address

Mailing Address

Country

Street

City

Region

Postal Code

Mobile Phone

Keep Me Updated w/ Text Messages

Yes

Note: Message and data rates may apply.

Additional Information

High School

Year of High School Graduation

Are you redeeming a travel voucher from an alumnus?

Yes

*This voucher cannot be combined with any other travel reimbursement from The College.

Amount of Alumni Voucher

Alumni Voucher Code (found at bottom)

Parent Information

Parent/Guardian 1

Relationship

First Name

Last Name

Mobile Phone

Did this parent/guardian attend Hampden-Sydney?

Will this parent/guardian be joining you for the program?

Yes

Parent/Guardian 2

Relationship

First Name

Last Name

Mobile Phone

Did this parent/guardian attend Hampden-Sydney?

Will Parent 2 be joining you for the program?

Yes

Additional Guest Information

Total Number of Guests (including parents and other guests; do not include yourself)

Name of Additional Guest #1 (Not listed as Parent 1 or 2)

Relation of Guest #1

Name of Additional Guest #2 (Not listed as Parent 1 or 2)

Relation of Guest #2

Name of Additional Guest #3 (Not listed as Parent 1 or 2)

Relation of Guest #3

Name of Additional Guest #4 (Not listed as Parent 1 or 2)

Relation of Guest #4

Name of Additional Guest #5 (Not listed as Parent 1 or 2)

Relation of Guest #5

Additional Comments