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Registration: Test Event (07-22-2009 - 07-24-2009)
welcome to a test page for Dillard University

USER INFORMATION
( * = required field )
First Name:  *  
Last Name:  *  
Organization:
Address:   *  
City:   *  
State:   *  
Zip Code:   *  
Country:
Email:  *  
Confirm Email:  *  
Phone: 

ADDITIONAL INFORMATION
Student SSN:
Do you plan to attending Dillard University in the Fall 2009:   Yes    No  
If yes, will your Parents/guardians attend SOAR:   Yes    No  
If no, what college or university are you attending this fall:
Do you require Special Assistance:   Yes    No  
If so, please describe below:
What is your t-shirt size:
Mother First Name:
Mother Last Name:
Father First Name:
Father Last Name:
Guardian First Name:
Guardian Last Name:
Mother:
Father:
Guardian:
Sibling(s):
All other guests:
I agree to the terms and conditions. Read Terms & Conditions
 

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Dillard University
2601 Gentilly Boulevard
New Orleans, Louisiana 70122
Phone: 504.283.8822

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