Parents Association

Parent Information Form

We ask that all parents/family members fill out this information card.  If you would like to be a member of the UC Parents Association please additionally fill out the payment information on the bottom.  

(Please print)

Today's Date______________________________________________

Name___________________________________________________________

Address__________________________________________________________

City, State, Zip____________________________________________________

Email____________________________________________________________

Phone___________________________________________________________

Student’s name____________________________________________________

MEMBER INFORMATION

Is this a membership renewal?
____ yes       ____ no 

Length of membership? (Check One)

_____ $35/one year
_____ $50/two years
_____ $70/three years
_____ $85/four years          

PAYMENT TYPE
Check #______________ 
Payable to: The University of Cincinnati

Turn this form in at the Parent Association Reception at Bearcat Bound Orientation or at the DuBois Bookstore, or mail to: UC Parents Association        P.O. Box 210007 University of Cincinnati Cincinnati, OH  45221