Student Information
Please complete the registration form below for Huron's Fall Preview Day on Saturday, November 20th.
Student's Name
*
First Name
Last Name
Student's Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Student's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
When are you planning to start university?
*
Please Select
September 2022
September 2023
September 2024
September 2025
Current Curriculum
*
Please Select
Secondary School
CEGEP
International Baccalaureate
CBSE
A-Levels
CAPE
College
University
Other
Name of Current School
*
Session Registration
Please select the Fall Preview Day session in which you wish to attend. The timeframe includes a structured agenda for your activities outlined on the website. Attendees will participate in EITHER the morning or afternoon session depending on which one you register for.
Please list the number of people including the student that will be attending. Please note - a maximum of 3 people total are permitted to attend per group.
*
Additional Attendee Details
Please note that ALL attendees must show proof of full vaccination upon arriving on campus. Those not able to show full proof of vaccination will not be able to participate in the Fall Preview Day.
Additional Guest #1 Name
First Name
Last Name
Additional Guest #1 Email
example@example.com
Additional Guest #1 Phone Number
Please enter a valid phone number.
Additional Guest #2 Name
First Name
Last Name
Additional Guest #2 Email
example@example.com
Additional Guest #2 Phone Number
Please enter a valid phone number.
Register For Fall Preview Day
Cancel
1349 Western Rd., London, ON Canada N6G 1H3
519.438.7224 | @huronatwestern
Please note: by providing your information in this form, you are giving Huron permission to contact you.
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