Becoming a Scot Day

Student Contact Information

Required fields are denoted with an asterisk (*)

First Name*

Preferred Name

Last Name*

Cell Phone Number*

Email Address*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Event Information

Total Number Visiting (including yourself)*

If there are any specific accommodations (ex. wheelchair accessibility, dietary restrictions, etc) or additional comments that would be helpful while we plan for your arrival, please let us know and we will do our best to facilitate them.

Do you need assistance in making overnight hotel accommodations?*

Yes

No