ALL FIELDS WITH AN * ARE REQUIRED

    First Name*

    Last Name*

    Address*

    City*

    Primary Phone*

    Email*

     

    STUDENT DATA
    (Confidential - for reporting purposes only)



    ETHNICITY AND RACE


    WhiteBlack/African AmericanAsianNative American/Alaska NativeHawaiian/Pacific Islander

    COURSE INFORMATION

    Please list your top three choices, in order of preference. Students will only be registered for one course.

    Course ID Course Title

    Marian University reserves the right to cancel any course, change instructors, or alter meeting times as the University deems necessary. Reasonable attempts will be made to provide proper notification. Tuition must be paid in full by contacting the Marian University Business Office at: 920.923.7611.


    PARENT/GUARDIAN INFORMATION

    Full Name*

    Relationship to student*

    Address*

    City*

    Primary Phone*

    Email*



    Students must call the Marian University Bookstore at 800.262.7426, ext. 7166 to see if there is a textbook required for course(s) listed above or go to the Bookstore Web site at http://www.bkstr.com/marianuniversitystore/home.

    Tuition may be paid by cash, check, money order, or credit card (MasterCard, Visa, and Discover). All credit card payments will be charged a credit card fee (2.75 percent for domestic addresses and 4.25 percent for international addresses). Tuition and fees must be paid in full before the first class to avoid additional charges and fees. Once this registration form has been processed and you receive and email with your user name and password, payments can be made via SabreNet, mail, or by calling the Office of Business and Finance 920.923.8551 at the Fond du Lac Campus. For more information on payments or to pay online, click here.


    I certify as the registrant's parent/guardian by selecting YES below that the information given in this registration is complete and accurate. I accept sole responsibility for the registrant's registration for the aforementioned course(s). Further, I understand and acknowledge that I am legally and financially responsible for any tuition and fees incurred by such registration - whether online or in-person - in accordance with the Marian University policies as published in the current academic bulletin.