2022 Rogers Explorers – Contact Information Form Basic Information First Name * First Last Name * Last Preferred Name * If you have a name other than your legal name that you would like to go by, please list it here. Name of Parent(s) or Guardian(s) * Date of Birth * Gender * T Shirt Size * Small Medium Large X Large XX Large XXX Large Contact Information Non-School Related Email (School emails will not work on our system.) * Parent's email address * County of Residence * Mailing Address * City * State * Zipcode * Student Phone Number * Parent Phone Number 1 * Parent Phone Number 2 * School Information County of School * Name of School * captcha Δ