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First name: *
Last name: *
Please write your name below EXACTLY as you want it to appear in the banquet program: *
High School: *
Class rank: *
Mailing address: *
City: *
Zip code: *
Cell phone number - we will text you with important information and reminders, so be sure to check your messages regularly! Please enter numbers only (no dashes): *
Email address: *
Mother's name (first and last):
Mother's employer:
Mother's cell phone number - please enter numbers only (no dashes):
Father's name (first and last):
Father's employer:
Father's cell phone number - please enter numbers only (no dashes):
College or University you plan to attend: *
Major: *
What junior high did you attend? *
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