Admission to the U.S. Supreme Court Bar
Registration Form

All paperwork and payment for the swearing-in must be received in the Washburn Law Alumni Office no later than April 7, 2010. If you have questions, the Alumni Office will be glad to assist you. Please call (785) 670-1011.

Print and complete this form. Mail with your check(s)/credit card information, U.S. Supreme Court Application, and Certificate of Good Standing to:

Washburn University School of Law
Alumni Office – U.S. Supreme Court
1700 SW College Ave.
Topeka, KS 66621

Please print information requested below.

Name:     _____________________________________________

Class of: _____________________________________________
Guest
name(s):  _____________________________________________
Firm/
Business: _____________________________________________

Address:  _____________________________________________
          Street

          ______________________________________________
          City               State                 Zip

Phone:    ______________________________________________

E-mail:   ______________________________________________

Event Registration Fee
 Participant and Guest(s)
   $190 per person x _______ = ___________

 Include separate check payable to Washburn Law OR
 Provide your credit card information:

  Credit Card: _ Visa  _ MasterCard  _ Am Ex  _ Discover

  Print Name: __________________________________________

  Card No: _________________________ Expiration ________

  Signature: ___________________________________________
 
U.S. Supreme Court Swearing-In Fee
 $200 per participant (alumnus) x ________ = ___________
 
 Include separate check payable to U.S. Supreme Court
 (payment by credit card not available)

Admission to the U.S. Supreme Court Bar Registration Form

Admission to the U.S. Supreme Court Bar
Registration Form