Model Legislative Day Student Registration 2021
Full Name
*
First Name
Last Name
Please Submit a School photo, or selfie
Browse Files
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of
School or Club Name
*
Alcott Middle School
Belle Isle Middle School
Central Middle School - Edmond
Cimmarron Middle School
Deer Creek Middle School
Irving Middle School
Longfellow Middle School - Norman
Midwest City YMCA
Moore Central Jr. High
Moore West Jr. High
Sequoyah Middle School
Stillwater Jr. High
University School
Whittier Middle School
Current Grade
*
6th Grade
7th Grade
8th Grade
If you are currently in 8th Grade, what High School will you be attending next year?
Student Email Address
*
example@example.com
Birthdate
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent E-mail
*
Parent 2nd Email
example@example.com
Emergency Contact Name
*
Emergency Contact #
*
-
Area Code
Phone Number
T-shirt Size
*
Adult Small
Adult Medium
Adult Large
Adult X-Large
Adult XX-Large
Food Allergies or restrictions
*
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