Verity Institute

Innovative Higher Education

Open House

Date:
Parent’s Name:
Last:
Student’s Name:
Age:
Major area of interest:
Number of family members attending:
Phone Number:
Cell Phone:
Address:
City: State: Zip:
E-mail address:

Transportation:
Driving Flying
Estimated time of arrival:
We need Verity transportation: Yes No

Accomodations:
Number of people needing accomodations:

Flight Information:
Arrival:
Airline:
Arrival Date/Time: Flight #:
Airport:
City of departure:
Departure:
Airline:
Date/Time: Flight #:
Airport:
Destination:

Additional Information: