** ALL REGISTRATION MUST BE DONE ONLINE**

College Bound Arkansas Parent Registration
June 14-16, 2017
College Bound Arkansas registration is limited. Applicants will be accepted on a first come, first served basis. Priority registration will be given to first time attendees. Registration deadline is May 12, 2017. For further information, contact Carrie Tuttle at (501) 505-8855 or email ctuttle@conwaycorp.net.
Parents may attend College Bound Arkansas ONE TIME without their child.

First Parent's Name(*)
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Please enter the first and last name of the parent attending.

First Parent's Email Address(*)
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Second Parent's Name (if applicable)
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Please enter the first and last name of the second parent attending (if applicable).

Second Parent's Email Address (if applicable)
Invalid Email Address.

Street Address(*)

State(*)

City(*)

Zip Code(*)

Home Phone Number(*)
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Child's Name(*)
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Please select one of the following lodging options (Option One, Option Two or Option Three):

Lodging Option 1
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Lodging Option 2
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Lodging Option 2 More Info
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For emergency purposes, please enter the address and phone number where you will be staying during College Bound Arkansas.

Lodging Option 3
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Lodging Option 3 More Info
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Please indicate the type of room you would like to request.

Requested Accommodations Needed(*)
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Enter the letters you see in the field provided(*)
Enter the letters you see in the field provided   RefreshInvalid Input

Will you be able to attend the Wednesday Luncheon?
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