Career Explorations - Health & Wellness

Please enter all information carefully. Items marked with an asterisk (*) are required.

Career Explorations - Registration

I will be entering as a:* (Hidden)

Campus: (Hidden)

Registration Type:*

First Name*

Last Name*

Email Address*

Birthdate*

Participating Student's Mobile Phone*

May we text you?*

Yes

No

By choosing "yes", you accept and agree to be bound by the Johnson & Wales University Privacy Policy and any other applicable terms, and you consent to the processing of your information as set forth in those policies. Message and data rates may apply. You can opt out from future messages at any time by texting STOP, END, CANCEL, UNSUBSCRIBE, QUIT or STOP ALL to 75192 from your mobile phone. Reply HELP for help. Text messaging will be used to provide information on upcoming events and announcements, as well as important admission and financial aid reminders. Message frequency varies. SMS term of service here.

Mailing Address*

Country

Street

City

Region

Postal Code

Please enter your high school graduation year as YYYY:*

Intended Major:*

Gender*

Preferred Roommate (if applicable):

Please list any known allergies or medical needs

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Relationship Type*

Parent/Guardian Email*

Parent/Guardian Mobile Phone*

Is your Emergency Contact different than the Parent/Guardian listed above?*

Emergency Contact Name:*

Emergency Contact Mobile Phone*

I authorize the university to use my name, image and/or voice (and recordings in which they appear) in any manner or media for university purposes, including, but not limited to, marketing and publicity purposes. Parents or guardian of a student under age 18: I understand that I will need to submit a letter of authorization to Admissions Events if student will be traveling alone to the program.*

I agree to the above terms and conditions

Payment

Amount Due
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Amount Due

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GL Account Number (Hidden)