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College Days Registration Form


Fields marked with an asterisk (*) are required.
Personal Information
*
First Name:
*
Last Name:
*
Gender:
Male Female
*
Address:
*
City:
*
State/Country, Zip:

*
Phone Number:
 
Cell Number:
*
Email Address:
*
Current Grade Level:
 
High School:
*
Church:
*
Adult T-Shirt Size:

Other Information
*
Are you interested in auditioning for a music scholarship while you are here? (High School Seniors only)
Yes No
*
Are you planning to spend the night in the dorm Thursday night or coming only for Friday's activities?
*
How many family members will be accompanying you for meals?

Comments
 
Any concerns or comments?