Student Registration Student Information Name First Name Last Name Date of Birth * MM DD YYYY Phone * (###) ### #### Email * School Information Name of School * City * Current Grade * 9th Grade 10th Grade 11th Grade 12th Grade Fair Information What are your plans after high school? * Check all that apply (you can select more than one) 2 year or junior college institution 4 year college institution Trade, Skill, Certification, Apprenticeship, or Internship Program Military Employment: Go directly into the workforce Entrepreneurship: Start a business Take a Gap Year Travel Not Sure In General, what do you think you want to be when you grow up? * Tell us your wildest dreams :-) Parent Information Name * First Name Last Name Phone * (###) ### #### Email * Mailing Address * street address, city, state, and zip code Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you for your registration. We are excited to bring opportunity, transformation and enjoyment to you! If you haven't already please download the student information packet.