Senator Farry Senator for a Day Registration Form

Friday, October 27, 2023 | 8:00 am – 1:30 pm

Neshaminy High School
2001 Old Lincoln Hwy
Langhorne, PA 19047

Deadline for Registration: Thursday, October 6, 2023

Senator Farry Senator for a Day Seminar

Advisor(s):(Required)

Advisor Contact Number:(Required)

Advisor E-Mail Address:(Required)

School Name(Required)

School District: (For Home School Students)

Student 1
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 2
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 3
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 4
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 5
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 6
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 7
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 8
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 9
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Student 10
Student Name:

Committee Choices: Please mark 1st, 2nd and 3rd choices only per student
Aging and Youth Agriculture & Rural Affairs Finance Law and Justice State Government Transportation
Comments
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