Bright Night

Registration Form

Fields with * are required.

First Name*
Last Name*
Address*
City*
State*
Zip Code*
Phone*
E-mail*
High School*
Year of Graduation*
GPA*
Academic Interest*
ACT* 23 or below 24-28 29-31 32-34
Gender* Male Female
T-Shirt Size*
Names of additional attendees:*
Do you have any relatives that are Drury alumni?*
Yes   No

If yes, please list their names and your relation below:
Will you be staying overnight?* Yes No
Including yourself, total number attending:* Sunday tour  Monday breakfast
Total number of parents attending Parent Dinner: Parent dinner  
   
Questions and Comments:
 
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