Assignment 2

Event Registration Form

All fields are required to submit the form.

First Name: Last Name: Email:

Are you a student at UWM?

Yes

No

Select your interests:

Technology

Music

Travel

Cooking

Select a Date:

MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember

Day12345678910111213141516171819202122232425262728293031

Year20202021202220232024202520262027202820292030

Comments:

Submit