"C" for Yourself!

Friday, April 10, 2026 at 10:00 AM until 1:30 PMCentral Daylight Time UTC -05:00

Cottey College
1000 W Austin Blvd
Nevada, MO 64772
United States

Student Information

First Name

Preferred Name

Last Name

Birthdate

Contact Information

Email Address

Mobile Phone

Address Type

Address

Country

Street

City

Region

Postal Code

Academic Information

Anticipated Start Term

Student Type

Academic Interest

Visit Information

Will you need a hotel room?

T-Shirt Size

Will you be bringing any guests?

Guest 1 Name

Guest 1 Email

Guest 2 Name

Guest 2 Email

Guest 3 Name

Guest 3 Email

Guest 4 Name

Guest 4 Email

Guest 5 Name

Guest 5 Email

Will you need accommodations (dietary, mobility issues, etc.) or are there any special requests for you or your guests?