Student's Full Name (First, Middle and Last): 

Address:

City:   State Texas Alabama Alaska Arkansas California Colorado Connecticut Delaware 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 Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming District of Columbia Other  

ZIP

Orientation Date: August 6-7

There will be person(s) including me in my party.

Student ID     

Email Address:    Gender: Female Male

Phone Number: 

Major:

HOUSING FOR STUDENTS (price included in registration fee.) All students will be assigned a double room with another new student.
Preferred roommate (if any):

STUDENT EARLY ARRIVALS/LATE DEPARTURE (Additional housing cost is per student.)

Indicate early arrival date: June 10 June 13 July 15 July 19 August 1 Not Applicable

Indicate late departure date: June 13 June 16 July 18 July 22 August 4 Not Applicable

Please indicate any special or dietary needs required:

TOTAL FEES

        Guest Fee: $40
        Guest(s)  X $40 = $ 

        Student early arrival/late departure fee:
        Night(s) X $12.00 = $

        TOTAL $ 

Admitted students may register on-line and pay on the day of the program. If you prefer to pay in advance, please make checks payable to Texas Woman's University and mail to:
Center for Student Development, Orientation, P.O. Box 425379, Denton, Texas 76204