Jagathon: IUPUI's Dance Marathon

First Name*:

Last Name*:

Email Address*:

Are you Hispanic or Latino? Yes No

Ethnicity American Indian or Alaska Native Asian African American Native Hawaiian or Other Pacific Islander White

Number of guests

High school graduation year

Intended Major

Area of Interest/Prospective Major

I would like to participate in an optional tour. Yes No

Would you like to add information for a parent or guardian? (They will also receive a confirmation email) Yes No

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