Name

Address
City 
State

Zip

Telephone (Area Code + Number)

Email 

Name of High School or College
 

Planned Major

When I am on campus I would like to meet with...

 (Please list all that apply)

Band (instrument):   

Choir (Vocal Range):   

Varsity Athletics (Sport):

T-Shirt Size 

I'm  Male  Female

Select your current year in High School:
FreshmanSophomoreJuniorSenior

Name of guest attending 

Name of guest attending 

Name of guest attending 

Name of guest attending 

The price for an all-you-can-eat lunch in our Village Market will be $6.00 per student and guest. Cash or check will be accepted during check-in.