Student for a Day Registration

Please complete the following registration form to attend one of BU's planned Student for a Day dates.

Name*
FirstLast
Address*
Street AddressCityState / Province / RegionZip / Postal Code
Phone*
Email*
Date you wish to attend:*
I would like to stay in Residence:*
- Yes
- No
Parent Name
(if under the age of 18 at time of visit)
Parent Email
If you wish to stay overnight in Residence during your visit for Student for a Day, please enter the date/dates you want to stay:

Brandon University