Auxiliary Information Reply Form

 

First Name: Last Name:

Gender (optional):
Home Address:
City: State: Zip:
Phone:
E-mail:
Parents' Names:
High School Attended: Year of H.S. Graduation:

Date of Entry at Purdue: Anticipated Major:
I am interested in the following:
  Golden Silks Color Guard
  Featured Twirlers/Twirling Team
  Golduster Dance Team
Would you like to be contacted by us?
If yes: Auxiliary Director Auxiliary Member

Additional Questions or Comments:



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