Eagle Statue

Main Registrant Information
(Add guests on the next screen)
* denotes a required field

 
 
Affiliation with Juniata College:
(check all that apply)
  Alumni  Graduation Year:
Parent  
For information purposes only, please list your student's name and graduation year below. This will not register your student for the event.
Student Name Graduation Date

Student  Anticipated Grad Year:
Faculty/Staff
Trustee
Other  Describe Other:
 
 
 
 
 
 
 
 
 
 
  The College lists individuals registered for events online so classmates and friends can see who will be attending.
Would you like your name (including any guests) to be listed?
Yes    No