"*" indicates required fields PLEASE READ FULLYCongratulations on being selected to attend the 2024 Florida American Legion Auxiliary Girls State program! You must complete the following sections: Contact Info, Guardian Info, and Unit Info. Upon completing the required sections and signing the consent registration, you will have completed the first step in the registration process. After submitting, you will receive an on screen confirmation. Corresponding emails will be sent to the submitted delegate/alternate email and parent/guardian email, along with the sponsoring unit chairman. Delegate/alternate emails CAN NOT be school emails as they are blocked on the school's end. Consent I have read the above information.Contact InfoThis section is information about you.Name* First Middle Last Mailing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code CountyAlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSt JohnsSt LucieSanta RosaSarasotaSeminoleSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonBirthday*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Delegate/Alternate Email Address* THIS CAN NOT BE A SCHOOL EMAIL ADDRESS Delegate/Alternate Phone Cell Phone*Name of High School*Shirt Size*SmallMediumLargeExtra Large2XL3XLDo you have immediate family that served in active military duty?* Yes No If yes who (relationship)?*Are you a member of the American Legion Auxiliary?* Yes No Guardian InformationThis section is information about your parent/guardianParent/Guardian Name* First Last Parent/Guardian Email*Information will be sent to your parent/guardian by email that they will need to sign and return. Please make sure that they are aware that information will be coming to their email. This is required information. If it is not received you will not be registered.Parent/Guardian Phone Number Cell*Relationship to Applicant*Additional Parent /Guardian Name First Last Additional Parent/Guardian EmailInformation will not be sent to this email.Additional Parent/Guardian Phone Number HomeRelationship to ApplicantIn Case of Emergency Contact Name* First Last Best Contact in Case of Emergency - phone number*Unit InformationDelegate/Alternate* Delegate Alternate Delegate/Alternate Registration Number*Unit Number*District Number*Chairman Name* First Last Chairman Email Address* Chairman Phone Number*Required Uploaded InformationUpload your birth certificate and Insurance CardBirth Certificate*Accepted file types: pdf, Max. file size: 1 GB.Currently have insurance?* Yes No Insurance Card*Accepted file types: pdf, Max. file size: 1 GB.Consent* I agree that all information provided is correct.Name* First Last Date* MM slash DD slash YYYY CAPTCHA