TopGolf Tidewater Reception

Student Information

First Name

Preferred First Name

Last Name

Birthdate

Student Email Address
(Please do not use a school email address).

Mobile Phone

Do you give Radford University permission to send you important updates regarding your upcoming visit(s), and/or other important information via text messaging? (Standard message charges apply.)

Do you give permission to receive telephone calls that deliver AI messages about Radford University at this phone number?

Yes

No

Has your address changed since you applied to Radford University?

Mailing Address

Country

Street

City

Region

Postal Code

Event Information

How many guests will be attending this event with you (do not include yourself)?
If your party includes another student interested in Radford, please have them register separately.

Would you like for us to copy a guest on event-related communications?

Yes

No

Guest Relationship Type

Guest First Name:

Guest Last Name:

Guest Email Address: