Summer Program Registration

Student's Name: M00 #:
Address: City:
Zip: Home Phone:
MCC Student E-mail: Cell Phone:

I will attend the EOP Summer Freshman Program July 7, 2014-August 1, 2014
     Yes   No   If yes, please complete the section below.

I will need a parking permit.   Yes   No

I will need a bus pass.   Yes   No

I will need a parking permit and bus pass.   Yes   No