Scout Registration - Step 1 of 2

Please make your reservations by September 20. Take your time while filling out the form below All fields in bold Italics are required. If you are a sponsor please click here to fill out a separate registration form.

Contact Information
First Name  MI  Last Name
        
Address   
  
  
City     State  
       
Zip    Country  
      
Phone Number       E-mail  
  () -       

Personal Information
Birth Date       Gender  
  //        Male   Female
Church you attend?       Graduation Year  
          2007   2008   2009
Will you be coming alone?     T-shirt size:
   Yes   No        Sm   Med   Lg   XLg   XXLg
MNU student room request       SCOUT MNU roommate request  
         
Academic Area of Interest
  

  
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