EmailMe Form - EXCEL Convention Registration

STUDENT INFORMATION

Student Name *

First Last

Division *

Junior Division (9-12 years old on December 31st of current school year)

Senior Division (13-19 years old on December 31st of current school year)

Gender *

Male

Female

Graduating Senior

I will be graduating in 2025.

EXCEL Award

I am applying for the EXCEL Award.

To be eligible for the EXCEL award, contestants must enter at least one event in each of the following categories:
1. Academics
2. Arts, Photography, Sewing/Homemaking
3. Platform Performance - (Music or Persuasive/Dramatics)

Parent/Coordinator Name *

First Last

Email *

Confirmation will be sent to this email.

Phone *

### - ### - ####

Mailing Address (Please fill out address once per school/homeschool.)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

SCHOOL INFORMATION

School Type *

Homeschool

Christian School or Co-op

School/Co-op Name *

City/State *

Pastor/Church Name *

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