Performing Arts Day

Student Name and Contact Information

Preferred First Name

First Name

Last Name

Birthdate

Student Email Address

Student Cell Number

Mailing Address

Country

Street

City

Region

Postal Code

Do you have a parent, grandparent, sibling, or other family member that has attended Drury University? If so please check the "Legacy" box below.

Yes

No

Name and relationship of Drury Alum

Would you like to provide contact information for parent/legal guardian?*

Yes

No

Parent/Guardian Relationship*

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

How many guests do you plan to bring with you?

Academic Information

What school do you currently attend?*
(Type the name and select the correct city and state for your school.)

Hidden Field: CEEB Code

Hidden Field: Level of Study

Year of High School Graduation*

Anticipated Start Term*

Student Type*

Anticipated Major/Program*

Please select your specific major of interest

Which areas of study and/or activities would you like to learn more about during your visit? Choose all that apply.

Additional Options

Are you actively being recruited by a Drury Coach?

Yes

No

If yes, what sport?

Would you like to receive free tickets to attend Drury’s Musical Performance of “The Spitfire Grill" on Friday, November 14th, at 7:30pm? (Limited number of tickets available)

Yes

No

If yes, how many?

Would you like to sign up for an audition in the afternoon?

Which Instrument?

Additional Comments: (Please include any dietary restrictions, mobility concerns, health issues, or other considerations for your visit.)