Birmingham Prospective Student Event

Tuesday, September 16, 2025 at 5:30 PM until 8:00 PMCentral Daylight Time UTC -05:00

Map and Directions

Regions Field
1401 1st Ave S
Birmingham, AL 35233
United States

Total number of people in your party (This number WILL include the student):

First Name

Preferred Name

Last Name

Birthdate

Email Address

Student Mobile Phone

*Would you like to OPT OUT of receiving text messages? Message and data rates may apply.

Yes

Mailing Address

Country

Street

City

Region

Postal Code

If you would like to include another email to also receive communications about this event, for example, a parent or guardian who will accompany you to the event, enter it here.

Guardian/Secondary Email Address

Parent Cell Phone Number

*Would you like to OPT OUT of receiving text messages? Message and data rates may apply.

Yes

Term for which you will be applying

Entering as a First-Year or Transfer?

High School

Major

Academic Area of Interest

Guest #1: Full Name (Do not include the student in the guest information)

Relationship:

Guest #2: Full Name (Do not include the student in the guest information)

Relationship:

Guest #3: Full Name (Do not include the student in the guest information)

Relationship:

If you have any special accommodations for your visit, please list them below:

Special Accommodations