Discover Xavier Day

Student Information

First Name

Last Name

Birthdate

Student Email Address

Student Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Entering Semester

Student Type

High School Name

Do you have any accessibility needs?

Yes

No

If yes, please describe your needs.

Academic Interest (for informational purposes only)

Are you a military veteran, service member, or a dependent child or spouse of a veteran or service member?

Guest/Family Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Mobile Phone

Parent/Guardian Email Address

Number of Guests
(not including the student)

Would you like free tickets for you and your guests to the Women's Volleyball game?

9/25 @2pm at the Cintas Center

10/16 @6pm at the Cintas Center

10/30 @6pm at the Cintas Center