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2020 Academy Days Registration Form
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Gender
*
Male
Female
Required
Mailing Address
*
Your answer
City
*
Your answer
State
*
Enter 2 letter state abbreviations (ie NC, SC, TN, GA, ...)
Your answer
Zip
*
Your answer
Student Phone #
*
xxx-xxx-xxxx
Your answer
Student Email Address
*
Your answer
Student Birthday
*
MM
/
DD
/
YYYY
Current Grade
*
(Due to space and time restrictions, only students in grades 8 - 11 may participate in activities)
8th
9th
10th
11th
Parent Name
*
Your answer
Parent Phone #
*
xxx-xxx-xxxx
Your answer
Parent Email
*
Your answer
Sponsor/Chaperone (if other than parent)
Your answer
Sponsor/Chaperone Phone #
xxx-xxx-xxxx
Your answer
Current School
*
Your answer
T-shirt size?
*
Sizes are adult sizes.
XS
S
M
L
XL
XXL
Reservations for
*
(select one)
Sunday AND Monday
Sunday ONLY
Monday ONLY
Will you be staying in the dorm?
*
Dorms are only available to Academy Days participants in grades 8-11. Parents must make arrangements to stay off campus. Area hotel information is provided at
www.fletcheracademy.org/alumni/travel_information/
Yes
No
Required
How many from your group will be eating with us in the cafeteria other than participants and chaperones? Please list these only once if completing multiple registrations.
*
0
1
2
Other:
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