Welcome! This registration form needs to be completed and the related Sign or Marshal fee payment made by March 15, 2018. Please be as complete and accurate as possible. The information you provide is used for the program, ball invitations, program script, etc.

If you are registering a Sign (female), you may make a secure, online payment with a debit/credit card at the following link: http://weblink.donorperfect.com/SignPayment.

If you are registering a Marshal (male), please use the following link: http://weblink.donorperfect.com/MarshalPayment.

Or you can complete the registration below and mail a check to Carroll Kimball at 110 31st Avenue North, Unit 602, Nashville, TN 37203, payable to the Eve of Janus.

Have questions? For Signs: Contact Sign Chairmen: Christi Grant at christirgrant@gmail.com or Lisa Harrison at lharrison3@att.net. For Marshals: Contact Marshal Chairmen: Paige Bainbridge at paigebainbridge@mac.com or Kathleen Estes at kathleenjestes@gmail.com.

I have read the Eve of Janus “Fast Facts” - Signs overview included in the parent letter *
** Go to http://www.nashvilledeltas.com/2018-FastFacts-Signs.pdf if you need to read the "Fast Facts".
Required
I have read the Eve of Janus “Fast Facts” - Marshals overview included in the parent letter *
** Go to http://www.nashvilledeltas.com/2018-FastFacts-Marshals.pdf if you need to read the "Fast Facts".
Required
I understand that registration is not complete until payment is received *
Required
Participant Information
Participant is a Sign (female) or Marshal (male)? *
Select the correct answer below
Participant Last Name *
Your answer
Participant Preferred Name / Nickname *
Your answer
Participant Full Formal Name *
Formal name as you wish it to be printed in the program and announced at the presentation
Your answer
Participant Email Address *
Your answer
Participant Mobile Number *
Your answer
Participant High School *
Your answer
Participant College or University *
Please type the formal name of the university. It will be announced during the presentation, e.g. The University of Mississippi instead of Mississippi or Ole Miss
Your answer
Participant College Major *
To be announced during presentation. If this is unknown, then specify "Undecided"
Your answer
Participant Greek or other Club / Sport / Volunteer Interest
Please list only ONE as this will be announced during the program
Your answer
Participant Height (feet) *
Will be used for pairing signs and marshals for presentation
Participant Height (inches) *
Will be used for pairing signs and marshals for presentation
Parent Information
Please enter N/A in the required fields if information is not applicable.
Parents live at the same address *
Send all communication to: *
Please note communication will include all emails and follow-up phone calls
Mother is Deceased *
Mother is a Delta Delta Delta *
Mother was presented in the Eve of Janus *
Father is Deceased *
Mother's Last Name *
Your answer
Mother's Preferred Name / Nickname *
Your answer
If mother and father are NOT divorced, how should we formally address the invitation? *
e.g. Mr. and Mrs. Gary Robert Kimball III
Your answer
If mother and father are NOT divorced, how should we casually address the parents *
e.g. Carroll and Gary
Your answer
If mother is divorced and/or remarried, how should we formally address the invitation?
e.g. Ms. Carroll Edwards Kimball or Mr. and Mrs. John Edward Price
Your answer
If mother is divorced and/or remarried, how should we casually address the mother and/or spouse?
e.g. Carroll or Carroll and Johnny
Your answer
Father’s Last Name *
Your answer
Father's Preferred Name / Nickname *
Your answer
If father is divorced and/or remarried, how should we formally address the invitation?
e.g. Mr. Gary Robert Kimball III or Mr. and Mrs. Gary Robert Kimball III
Your answer
If father is divorced and/or remarried, how should we casually address the father and/or spouse?
e.g. Gary or Gary and Anna
Your answer
Parent Printed Formal Names
Formal names as you wish them to be printed in the program and announced at the presentation
Parent Formal Names *
How would you like to be listed in the program? e.g. Dr. and Mrs.Gary Robert Kimball III, or Mr. and Mrs. John Price and Mr. Gary Robert Kimball III, or Ms. Carroll Edwards Kimball and Mr. and Mrs. Gary Robert Kimball III
Your answer
Parent Contact Information
Mother's Mailing Address *
Your answer
Mother's City *
Your answer
Mother's State *
Your answer
Mother's Zip Code *
Your answer
Mother's Cell Phone Number *
Your answer
Mother's Email Address *
Your answer
Father's Mailing Address (If different from mother's)
Your answer
Father's City (If different)
Your answer
Father's State (If different)
Your answer
Father's Zip Code (If different)
Your answer
Father's Cell Phone Number (If father is to receive communications)
Your answer
Father's Email Address (If father is to receive communications)
Your answer
Younger Sibling Information
We are interested in this information for future Eve of Janus participants.
Younger Sibling Name
For more than one younger sibling, separate information by commas
Your answer
Younger Sibling School
Your answer
Younger Sibling High School Graduation Year
Your answer
Comments/Questions
Your answer
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