Oceans of Opportunity Pasifika College Day

Main Registrant

Are you a:

Parent or Guardian of a K-12 Student

Community College or Non-CPP College Student

Cal Poly Pomona Student

Community Partner

Your First Name

Your Last Name

Your Email Address

Birthdate

Which school are you currently attending?

Which school or organization are you representing?

What is your racial identity?
(You can select multiple by CTRL+clicking for Windows, CMD+clicking for Mac):

Please select all Asian American ethnicities you identify with
(You can select multiple by CTRL+clicking for Windows, CMD+clicking for Mac):

Please select all Pacific Islander ethnicities you identify with
(You can select multiple by CTRL+clicking for Windows, CMD+clicking for Mac):

How many guests do you plan to bring? (maximum of 5)

Guest Information

Guest 1 Full Name

Guest 2 Full Name

Guest 3 Full Name

Guest 4 Full Name

Guest 5 Full Name

Additional Questions

Do you or anyone in your group have an accessibility need? We encourage you to make any accommodation requests no later than November 3, 2025 to enhance our ability to evaluate your request. Every reasonable effort will be made to accommodate requests.

Yes

No

Please indicate your accessibility need: Please note that wheelchairs and other assistive devices of a personal nature will not be available.

Consent and Liability

COVID-19

Before coming to the event, please do not come to Cal Poly Pomona campus if you are experiencing any COVID-19 symptoms or are under quarantine or isolations and adherence to all campus protocols is required. Please check the box below if you have read/accepted the terms regarding COVID-19.

COVID-19

Before coming to the event, please do not come to Cal Poly Pomona campus if you are experiencing any COVID-19 symptoms or are under quarantine or isolations and adherence to all campus protocols is required. Please check the box below if you have read/accepted the terms regarding COVID-19.

I accept.

Media Release
I give permission for the participant(s) to have photographs or videos taken. I also grant full rights to use the images resulting from the photography/video filming/, and any reproductions or adaptations of the images for fundraising, publicity, or other purposes. This might include (but is not limited to), the right to use them in printed and online publicity, social media, press releases and funding applications. Please check the box below if you have read/consent to the above statement.

I consent.

I do not consent.

Release of Liability
Please follow the link to read the RELEASE OF LIABILITY

I agree to the conditions stated in the CPP Release of Liability Form.

Please type your full legal name (in lieu of a signature):

All attendees under the age of 18 must be accompanied by an adult. If you have any questions, please email seuropa@cpp.edu. Thank you!