Bluejay Bash

Student Information

First Name

Preferred Name

Middle Name

Last Name

Birthdate

Including yourself, how many people will be attending?

Email Address

Student Contact Information

Cell Phone Number

Expected Entry Term at Elmhurst

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

Student Type

First-Year Student (Freshman)

Transfer Student

Academic Program

What school are you currently attending?

Bluejay Bash Details

I understand that there will be a bonfire during this event. I will be cautious during the bonfire.

Yes

No

Please indicate any Dietary Restrictions for you or your guests.

Do you require any accommodations on your tour (wheelchair, translator, etc.)?

Yes

No

Please describe the accommodations you require: