Experience Day Registration Company Student Information Student First Name * Student Last Name * Date of Birth * Gender * MaleFemale Cell Phone Number * Email * Year of High School Graduation * 2016 2017 2018 2019 2020 2021 2022 Home Church (Name/City) * T-Shirt Size * Small Medium Large XL XXL Mailing Address * City/Town * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code * Will you be with us for the full Experience, or only on Monday? * I'll be there both Sunday and MondayI'll only be there on Monday Are you attending Experience Day with your parent/guardian? * YesNo Parent/Guardian Name * Parent/Guardian Email Address * Parent/Guardian Phone * Do you have any food allergies? * YesNo Who else is joining you for Experience Day? friend(s), youth pastor, etc.