Campus Day Online Registration form

First Name: *
Last Name: *
Sex: Female Male
Address: *
City: *
State: *
Zip:
Phone:
Email:
Year of High School Graduation:
Home Church:

Names of people who will be accompanying me:

First Name:
Last Name:
Relationship to you:

I'd like to meet with an athletic coach for the following sport(s):

Baseball - men Basketball - men or women
Cross Country - women Golf - men
Soccer - men or women Softball - women
Volleyball - women

I'd like to schedule a music audition for:(they can fill in what they sing/play)

Voice:
Instrument:

I will attend on: (choose one):

Friday, Feb. 9, 2007 Friday, March 23, 2007 Friday, April 13, 2007