First Name*:         Last Name*:

Address*:         City*:      

State*:       Zip Code*:       

Home Phone*:         Cell Phone:

Email*:        

High School*:

High School Counselor:

Year of High School Graduation*:    

Year of College Entrance*:

Have you taken the ACT exam?*

Yes    No

If yes, what was your score? 

If no, when do you plan to take the exam? 

Academic Interest:

    1st Choice*  

    2nd Choice  

    3rd Choice   

Athletic Interests:

Baseball

Men's Basketball

Women's Basketball

Softball

Cheerleading/Dance Squad

Livestock Judging

Rodeo

Equine

Please select a date and time for your tour:*

September

1          4           6          8

11        13        15        18

20        22        25        27

29

October

2          4           6          9

11       13        16        18

25        27        30       

Time

1:30 p.m.        3:00 p.m.

Notes: