2023 Page Day Application

Wednesday, Jan. 25, 2023
Apply by Wednesday, Jan. 11, 2023

Student Information

(If the registrant is not a member of an REMC please indicate by selecting "Not an REMC Consumer")

Parent / Guardian Information

Emergency Contact Information (other than parent / guardian listed above)

List a contact other than parent / guardian listed above.

Medical Information

State Senator

Visit Find Your Legislator to complete these fields. It is very important this is correct. Even if you think you know your state senator, you must use the link to verify.

Local Newspaper