COMPLETE THIS ONLINE FORM AND PAY BY CREDIT CARD.
PLEASE COMPLETE ONE FORM FOR EACH STUDENT ATTENDING.
First Name:
Middle Initial:
Last Name:
Preferred First Name:
Address:
City:
State:
Zip:
Home telephone:
Work or cell telephone:
E-mail:
Name of High School:
Year Graduated:
Your intended major:
Select Birthdate:
Birth Month
01
02
03
04
05
06
07
08
09
10
11
12
Birth Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Birth Year
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
List the names of guests attending Springfest as you would like them to appear on their name tags. Check beside name if an alum.
Click only if an alum:
Guest #1:
Click only if an alum:
Guest #2:
Special Needs:
If you are disabled or have special needs, please tell us how we can help you during your Springfest activities.
Total number attending (student and guests - $15 non-refundable fee per person):
How many?
1
2
3
