Contact Information

First Name    Middle Initial    Last Name

Address/Dorm    Room Number

City    Zip Code

Cell Phone Number:    FSU E-mail Address:

Personal Information

Major    Year in School: 1st   2nd   3rd   4th

T-Shirt Size: S  M  L XLXXL

How did you find out about KYX?

Do you have any special needs / conflicts during Rush Week that we need to be aware of?