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Summer 2018 Crash Day Registration Form

Thank you for your interest in attending Youngstown State University's Crash Day program. Please complete the following registration form below to confirm your reservation.
2. Please provide the following information: *This question is required.
This question requires a valid email address.
This question requires a valid date format of MM/DD/YYYY.
3. What is your current status? *This question is required.
6. Name of college(s) you have attended (if applicable):