familyweekend.elmira.eduFamily Weekend Elmira College

Online registration for this event has closed. Elmira College now accepts sign-up through this secure form. Please complete the information below and press the 'Submit' button to confirm your attendance. Click the button below to view the Schedule. Schedule Fields marked with an (*) are required. Registrant Information * Primary Registrant Email: Student Information * Student First Name: Student Middle Name: * Student Last Name: * Student Class Year: Parent-Guest Information Please enter Parent-Guest Name(s) and then click "Add" Parent-Guest Name: Cell Number: Email Address: Special Accommodations: (Mobility, Hearing, etc.) Please describe in detail Event Registration We will attend the following activities: Friday, November 1st # of EC Students # of Parents & Guests Cost Dinner Special price - $10.00 at the door (EC Students may use meal swipe) Pay at door Dueling Pianos Hosted by the Student Activities Board $0 Saturday, November 2nd # of EC Students # of Parents & Guests Cost Breakfast with Dr. & Mrs. Lindsay Space is limited Email gkuntz@elmira.edu for Reservations Brunch $8.00/per person at the door (EC Students may use meal swipe) Pay at door Lunch $10.00/per person at the door (EC Students may use meal swipe) Pay at door Dinner $10.00/per person at the door (EC Students may use meal swipe) Pay at door Special Family Dinner Reservations Required (EC Students MAY NOT USE meal swipe) $25 per person Sunday, November 3rd # of EC Students # of Parents & Guests Cost Family Brunch $8.00/per person at the door (EC Students may use meal swipe) Pay at door Total Number of Individuals Attending (including student): 1 Total Cost: $0 Billing Information * First Name: (as it appears on the card) * Last Name: (as it appears on the card) * Address: * City: * State: -- Select a State -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virgina Wisconsin Wyoming Ontario British Columbia Yukon Alberta * Zip Code: * Credit Card Type: MasterCard Visa Discover AMEX * Credit Card Number: * Expiration Date: MM 01 02 03 04 05 06 07 08 09 10 11 12 / YYYY 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 * CVV2 Code: (3-4 Digits) What is this? You may call or e-mail us at (607) 735-1815 or studentlife@elmira.edu with any questions. X Please wait while your transaction is being processed....