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2021 U.S. Service Academy Day Student Registration (TN05)
Please provide the information below in preparation of our annual U.S. Service Academy Day on October 2nd, 2021.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Home Address ( Must include city, state, and zip code)
*
Your answer
Parent/ Guardian Address (If different)
Your answer
Email Address
*
Your answer
Cell Phone Number
*
Your answer
Home Phone Number (if applicable)
Your answer
Current High School
*
Your answer
Grade
*
9th Grade
10th Grade
11th Grade
12th Grade
Desired Military Academy ( select up to 3 choices)
*
Military Academy
Naval Academy
Air Force Academy
Merchant Marines
Coast Guard Academy
Department of State
Required
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