Simmons College

First name *

Last name *

Simmons ID number

(if you have one)

Email address *

Address *

City *

State *

Zip Code *

Phone number *

Are you: *

An Incoming First-Year (class of 2013)

A Transfer Student

What day would you like to visit? *

Select a date... One day: Monday June 29 ($25)

What activities would you like to do (if you selected overnight)? Rate the options from 1 to 4, with 1 for your top choice.

Skywalk Observatory and shopping at the "Pru"

Improv Asylum and the North End

Movie at Boston Common

VanGogh: Brush with Genius

How many members of your family be joining you for the family activities (9:00 - 11:30am)? *

(if none, enter 0)

Any comments or special requests? Let us know:

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