PBA Preview Day

Personal & Contact Information

Student's First Name

Student's Last Name

Student's Birthdate

Student's Email Address

Student's Mobile Phone Number

Student's Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

I will enter PBA as a:

What year will you graduate high school?

When would you like to begin classes?

Academic Interest/Major (First Choice)

Academic Interest/Major (Second Choice)

My area of interest was not listed.

Please indicate your area of academic interest/major.

Additional Information

We have optional academic tours available at the end of the day! If you are interested, please select a tour below.

Are you visiting with an organization?

Yes

What is the name of the organization you are coming with?

Student's T-Shirt Size

Additional Guest Information

Number of additional guests

Guest #1

Relationship to Student

We're glad your friend is coming with you! Please have your friend register for the event separately so we can reach out and get connected with them.

Siblings 15 years and older must submit a separate event registration form. Thank you!

First Name

Last Name

Mobile Number

Guest #2

Relationship to Student

We're glad your friend is coming with you! Please have your friend register for the event separately so we can reach out and get connected with them.

Siblings 15 years and older must submit a separate event registration form. Thank you!

First Name

Last Name

Mobile Number

Please indicate if you or a guest has a dietary restriction.

Please provide additional details regarding your dietary restriction -- who and how many has dietary restrictions.

Please indicate any additional special requests or accommodations for you or your guests.

Please read the Photo Release form before checking the box below.

I have read and agree to the terms outlined in the Photo Release form.

PBA Preview Day

Come Explore What PBA Has To Offer!