STUDENT PRE-REGISTRATION FORM

Please complete the form below to pre-register for College Goal Sunday Washington. Pre-registration isn't required; however, it helps the program coordinators determine approximate attendance.

Required fields are marked with an asterisk*.

Student's First and Last Name:*
Student's Address:*
Student's Home Phone:*
Student or Family E-Mail Address
Student's Home High School:*
Year of High School Graduation:*
List parents and/or other family members who will be attending with you.
College Goal Site you plan to attend:*	Select Site Bellingham Des Moines Everett Moses Lake Olympia Pasco Puyallup Seattle Spokane Tacoma Vancouver Walla Walla Yakima
Have you obtained a signature PIN # at www.pin.ed.gov?:*	Yes   No
(If no, please secure a PIN # before attending the College Goal Sunday event)
Special needs: e.g., interpreter, handicap access (Please include a phone number where we can reach you if we require additional information to accommodate your special need. We will make every effort to accommodate.)
How did you hear about College Goal Sunday?	Please Select Counselor/teacher Parent/family member College Fair Bank Internet Media Flyer Other-PLEASE SPECIFY

Disclaimer: College Goal Sunday is committed to protecting your privacy. The information collected is for event planning purposes only. We will not share or sell your information to any third party for any purpose.