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Parent Information

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In order to join our mailing list, please include your student's name and email for verification.
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Student's First Name *

Student's Last Name *

Student's Birthdate *

Student's Birthdate *

Student's Email Address *

Student's Anticipated Semester of Entry *

Student's Mailing Address *

Student's Mailing Address *

Country

Street

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Postal Code

Parent Information

Parent 1

Parent First Name

Parent Last Name

Parent Email Address

Parent Mobile Number

By providing your mobile number, you are agreeing to receive SMS messaging from Clarke University. Standard rates may apply.

Parent 2

Parent First Name

Parent Last Name

Parent Email Address

Parent Mobile Number

By providing your mobile number, you are agreeing to receive SMS messaging from Clarke University. Standard rates may apply.