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Special Groups Registration
Organization Name:
Coordinator/Contact Person:
Coordinator's Email:
Phone Number:
Cell Phone Number:
Street Address:
City:
State:
Zip Code:
Date of Tour:
Number of students: (Note: Max # of students = 50)
Grade level of students:
9th
10th
11th
12th
Number of chaperones:
Type of group:
College Preparatory Program
College Tour
High School
Youth program
Other
If Other, please specify:
Has this group visited Villanova before?
Yes
No
Please provide a brief description of the organization and the population you serve:
Preferred time for Information Session:
9:30 A.M.
1:00 P.M.
No info session requested
Preferred time for the Campus Tour:
10:00 A.M.
1:30 P.M.
No campus tour requested
Comments or Questions:
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