Web Site First Name * Last Name * Email * Address Line 1 * Address Line 2 City * 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 * Best phone number to reach you * Gender Birthday What high school/college do you currently attend? * Semester entering Francis Marion University * Fall 2019 Spring 2020 Fall 2020 Spring 2021 Fall 2021 Spring 2022 Fall 2022 Academic Interest Which date would you like to attend? * February 2, 2019 March 2, 2019 April 6, 2019 Including yourself, how many people will attend? * Do you have any special needs related to disability? Special note: for any special needs, please make your reservation at least 1 month in advance for us to accommodate you the best!