Name *

First Name

Last Name

Phone

(###)

###

####

School Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Date

If a multiple day event please see below:

MM

DD

YYYY

Event Date - Second Day

Please leave blank if a single day event

MM

DD

YYYY

Start Time

Hour

Minute

Second

AM PM

End Time

Hour

Minute

Second

AM PM

Event Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Will Helpers/School Staff be available to assist ?

YES

NO

Will Tables be provided for our station?

YES

NO

Parking Passes required for Event?

YES

NO

Are students able to purchase Regalia PRIOR to your Grad Fair

YES

NO

Are students able to purchase Regalia AT your Grad Fair

YES

NO