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pausecontent[0]='ATTENTION SENIORS: <br />Register for our CGS event today. <br
/> We can help you get money for college.'
pausecontent[1]='Snow date for CGS is TBD. <br />Same time and same places.'
pausecontent[2]='In the event that the College Goal Sunday is cancelled due to t
he weather, we will have information on this website. <br />Stay tuned!'
pausecontent[3]='ATTENTION VOLUNTEERS: Register today to assist us. <br />We nee
d you. <br />Help us make a difference. '

var pausecontent2=new Array()


pausecontent2[0]='ATENCION SENIORS: Reg&iacute;strate para nuestro evento hoy.
<br />Te podemos ayudar a conseguir dinero para ir a un colegio or universidad.'
pausecontent2[1]='En caso de nieve mira este sitio para ver mas informaci&oacute
;n.'
pausecontent2[2]='Mira este sitio para averiguar si el College Goal Sunday se ha
cancelado debido a mal tiempo.<br />Mantente informado!'
pausecontent2[3]='ATENCION VOLUNTARIOS: Regístrese aquí para ayudarnos. <b />Lo nece
sitamos. <br />Su participación es valiosa. '
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<li><a href="student.php"><span>Students and Parents</span></a></li>
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<p class="header">College Goal Sunday 2011 Student Registration Form</p>


<p align="center" class="style36">College Goal Sunday 2011 will be held in Conne
cticut on Sunday, January 30, 2011 </p> <p align="center" class="style36">from 1
:30 p.m. to 4:30 p.m.</p>
<p>To register for College Goal Sunday CT, please complete the form below and su
bmit. You will receive a confirmation of your registration on screen and via ema
il. Please print it and bring the necessary documents to the workshop. If you ar
e a current or recent high school graduate, your parents' attendance will be ver
y helpful.</p>
<p class="subheading">INSTRUCTIONS:</p>
<ul>
<li>When you complete the registration form, please fill it out with student inf
ormation. There is space in the form to also list parents and other family membe
rs who will be attending. </li>
</ul>
<p>
Fields marked with <img src="images/required.gif" alt="field required"> are re
quired.
</p>
<FORM name="contact" METHOD="POST" ACTION="student_registration.php">
<input type="hidden" name="submitted" value="1">
<input type="hidden" name="st_form" value="1">
<div class="field"> <label>Student's First Name</label>
<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="fname" size="33" tabindex="1" >
<!-- <input type="text" name="fnmae" size="33" tabindex="1" style="text-trans
form:uppercase;" on keyup="javascript:this.value=this.value.toUpperCase();" > --
>
<div class="field"> <label>Student's Last Name</label>
<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="lname" size="33" tabindex="1" >
</div>
<p><b>Student's Address</b></p>
<div class="field"> <label>Street or PO Box</label>
<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="address" size="33" tabindex="1" />
</div>
<div class="field"><label>City</label>
<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="city" size="33" tabindex="1" />
</div>
<div class="field"> <label>State</label>
<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="state" size="33" tabindex="1" />
</div>

<div class="field"> <label>Zip Code</label>


<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="zip" size="33" tabindex="1" />
</div>
<div class="field"><label>Phone Number (Area Code + Number) </label>
<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="phone" size="33" tabindex="1" />
</div>
<div class="field"><label>Student or Family Email Address</label>
<img src="images/required.gif" alt="Field required">
<br>
<div class="field"> <input type="text" name="email" size="33" tabindex="2
" >
</div>

<div class="field"> <label>Confirm Student or Family Email Address</label>


<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="email2" size="33" tabindex="2" >
</div>

<div class="field"> <label>Student's Home High School</label>


<img src="images/required.gif" alt="Field required">
<br>
<input type="text" name="hschool" size="33" tabindex="2" >
</div>

<div class="field"> <label>Year of High School Graduation</label>


<img src="images/required.gif" alt="Field required">
<br>
<div class="field"> <input type="text" name="gradyear" size="33" tabindex
="2" >
</div>

<p><b>List parents and other family members who will be attending with you.</b><
/p>
<div class="field"> <label>1.)</label>
<input type="text" name="guest1" size="33" tabindex="2" >
</div>
<div class="field"> <label>2.)</label>
<input type="text" name="guest2" size="33" tabindex="2" >
</div>
<div class="field"> <label>3.)</label>
<input type="text" name="guest3" size="33" tabindex="2" >
</div>
<p><b>Indicate the Workshop you will be attending
<img src="images/required.gif" alt="Field required"></b></p>
<div class="style5" align="left">
<div class="field"> <label></label>
<input type="radio" name="workshop" value="1" />Greater Hartford - Capit
al Community College<br><table><tr><td>950 Main Street<br>Hartford, CT 06103</td
></tr></table><br>
<input type="radio" name="workshop" value="14" />New Britain - Central C
T State University<br><table><tr><td>1615 Stanley St.<br>New Britain, CT 06050</
td></tr></table><br>
<input type="radio" name="workshop" value="10" />Bridgeport - Central Hi
gh School<br><table><tr><td> 1 Lincoln Blvd.<br> Bridgeport, CT 06606</td></tr><
/table><br>
<input type="radio" name="workshop" value="2" />Willimantic - Eastern CT
University<br><table><tr><td>83 Windham Street<br>Willimantic, CT 06226</td></t
r></table><br>
<input type="radio" name="workshop" value="3" />New Haven - Gateway Comm
unity College<br><table><tr><td>Long Wharf, 60 Sargent Drive<br>New Haven, CT 06
511</td></tr></table><br>
<input type="radio" name="workshop" value="30" />West Hartford - Hall Hi
gh School<br><table><tr><td> 975 North Main Street<br>West Hartford, CT 06117</t
d></tr></table><br>

<!--<input type="radio" name="workshop" value="4" />Bridgeport - Discovery Mu


seum<br><table><tr><td><br><td> 4450 Park Ave <br>Bridgeport CT 06604</td></tr><
/table><br> -->
<input type="radio" name="workshop" value="7" />Manchester - Manchester Comm
unity Collegel<br><table><tr><td>Great Path<br>Manchester, CT 06040</td></tr></t
able><br>
<input type="radio" name="workshop" value="8" />Middletown - Middlesex Commu
nity College<br><table><tr><td>100 Training Hill Road<br>Middletwon CT 06457 </t
d></tr></table><br>
<!-- <input type="radio" name="workshop" value="6" />New London - The New Londo
n Science and Technology Magnet High School<br><table><tr><td>490 Jefferson Aven
ue<br>New London CT 06320</td></tr></table><br>-->
<input type="radio" name="workshop" value="31" />Waterbury - Naugatuck Valle
y Community College<br><table><tr><td>750 Chase Parkway<br>Waterbury, CT 06708</
td></tr></table><br>
<input type="radio" name="workshop" value="9" />Norwalk - Norwalk Community
College<br><table><tr><td>188 Richards Avenue<br>Norwalk, CT 06854</td></tr></ta
ble><br>
<!-- <input type="radio" name="workshop" value="5" />Waterbury - Post Univers
ity<table><tr><td>800 Country Club Road<br>Waterbury, CT 06723-2540</td></tr></t
able><br>
-->
<!-- <input type="radio" name="workshop" value="10 />Fairfield - Sacred Heart
University<br><table><tr><td> 5151 Park Avenue<br> Fairfield, CT 06825-1000</td
></tr></table><br> -->
<!-- <input type="radio" name="workshop" value="11" />West Hartford - St. Jos
eph College<br><table><tr><td> 1678 Asylum Avenue<br>West Hartford CT 06117</td>
</tr></table><br>
-->
<!-- <input type="radio" name="workshop" value="22" />Norwich - Norwich
Free Academy - The NFA site is restricted to only our students and families<br><
table><tr><td>305 Broadway<br>Norwich, CT 06360</td></tr></table><br>
-->
<!-- <input type="radio" name="workshop" value="23" />New London - Ridley-Low
ell Business and Technology Institute<br><table><tr><td>470 Bank Street<br>New L
ondon, CT 06320 </td></tr></table><br>
-->
<input type="radio" name="workshop" value="20" />New London - Science and Techn
ology Magnet High School of SE Connecticut<br><table><tr><td>490 Jefferson Avenu
e<br>New London CT 06320</td></tr></table><br>
<input type="radio" name="workshop" value="21" />Fairfield - Sacred Hear
t University<br><table><tr><td>5151 Park Avenue<br>Fairfield, CT 06825</td></tr>
</table><br>
<input type="radio" name="workshop" value="12" />Danbury - Western CT State
University<br><table><tr><td>181 White Street<br>Danbury, CT 06810</td></tr></ta
ble><br>

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