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
Email address *
Last Name *
Your answer
First Name *
Your answer
Preferred Name *
Your answer
Student Email Address *
Your answer
Parent Email Address *
Your answer
Gender *
Date of Birth *
T-Shirt Size *
Are you a vegetarian? *
List any dietary restrictions
Your answer
A copy of your responses will be emailed to the address you provided.
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