NATIONAL E-WEEK
8TH GRADE OPEN HOUSE
University of South Alabama - Shelby Hall
Thursday, February 25, 2016
Registration Form
S C H O O L I N F O R M AT I O N
School Name: _________________________________________________________________
School Physical Address: ________________________________________________________
City: ___________________________ State: _______ Zip Code: ________________
School Mailing Address (if different): _______________________________________________
City: ___________________________ State: _______ Zip Code: ________________
Phone: (_____) ______-___________
M A I N C O N TA C T I N F O R M AT I O N
Contact Name: ___________________________________ Position: _____________________
Email:______________________________________________ Phone: (_____) _____-_______
Prefered Contact Method: Email _____ | Phone _____ | Other _________________
R E G I S T R AT I O N I N F O R M AT I O N
Number of 8th Graders*: _________
Number of Chaperones: _________
Number of Buses: _________
Prefered Tour Time**: 8:20 - 10:20 _____ | 11:00 - 1:00 _____
*Please call ahead of registering if you plan to have more than 100 students.
**We have a set number of spots for each tour, and times will be assigned in order registration is received. Please submit your form
as early as possible if only one time will work. We’d love to have each Mobile and Baldwin County School attend that is able!
Email registration form to:
Ronda Girardeau
USA – College of Engineering
rgirardeau@southalabama.edu