Registration Form

Do not complete this registration until you have been accepted to Boys State and have received instructions to do so from the Minnesota Department of the American Legion

First Name

Middle Name

Last Name

Date of Birth

Ex: Jan 1 1990

High School Name

Legion Post Sponsoring (if one)

Email Address

Home Address

City

State

Zip Code

Cell Phone

Parent\Gardian: First Name
Last Name
Parent/Guardian Email Address
Parent/Guardian Daytime Phone
Parent/Guardian Cell/Emergency Phone

Local Newspaper Name

Local Newspaper Email Address (if available)

Optional: Are you interested in participating in Band or Choir? You can also participate in both.

Band Choir Both Neither

Band-My Instrument is (If applicable):

Piano Accompanist-Could you be an Accompanist for the Chorus?

Interested in writing for the Boys State Newspaper? (Optional)

If Yes to Newspaper, interested in:

Chief Editor Staff Writer Lay Out Person

Enter Legion Validation Code (provided to you)