Date
-
Month
-
Day
Year
Date
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
10
20
30
40
50
Minutes
First Name
*
Last Name
*
Cell Phone #
*
E-mail
*
First Time Registering?
*
Yes
No
I am
*
18 or older
Under 18
Parent's Email Address
*
example@example.com
Gender
Male
Female
School
*
FSU
FAMU
TCC
Class
*
Freshman
Sophomore
Junior
Senior
Super Senior
Grad Student
Grad year
*
Where do you live?
*
Off-Campus
Azalea
Broward
Bryan
Cawthon
DeGraff
Deviney
Dorman
Gilchrist
Jennie Murphree
Landis
Magnolia
McCollum
Ragans
Reynolds
Rogers
Salley
Traditions
Wildwood
What room?
What's your major?
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