Student Information
Please enter your "Preferred Name" exactly as you would like for it to appear on your name tag for Governor's School.  Please submit this information by May 24, 2019
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Email *
Last Name *
First Name *
Preferred Name *
Student Email Address *
Parent Email Address *
Gender *
Date of Birth *
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T-Shirt Size *
Are you a vegetarian? *
List any dietary restrictions
A copy of your responses will be emailed to the address you provided.
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