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Register for Fall Visitation Programs

You may complete this form online and submit using the "Sign Me Up" button at the bottom, or print and mail to: Muskingum University, Office of Admission, 163 Stormont Street, New Concord, OH 43762.

Please register at least one week prior to the program you wish to attend. Questions? Call 800-752-6082.


Open House 2013 Registration for this date is closed.
  October 18
  November 1
  November 11
  November 16

First Name:      M. I.: 
Last Name:
Street Address:
Apartment:
City:
    Zip: 

Area Code & Phone: -
E-Mail Address:
Gender:  Male     Female

Graduate HS in:  2014    2015   2016
High School:
Academic Interests:

The following people will attend with me:
(1) Name:     Relationship:
(2) Name:     Relationship:
(3) Name:     Relationship:

Special Needs or AccommodationIf anyone in your party has special needs or requires an accommodation, please contact us. Email tsaft@muskingum.edu or call 800-752-6082.