Register - Desert Foundation Auxiliary

DFA Family Registration Form

First Name*

Middle Initial*

Last Name*

Birth Date

E-mail Address*

Phone Number*

Mobile Number

Street*

City*

State*

Zip Code*

Social Media

Facebook

Twitter

Instagram

High School*

College (If you know)

Name of Younger Siblings (include school attending and year of graduation)

Are Parents Divorced or Separated?*

Do you have a personal website? Submit it here*

Debutante Interests

Interests, Activates and Honors

Tell Us Something Unique About Yourself

What will you miss most when starting college?

What is the most important item you will bring to college?

Mother's Contact Information

First Name*

Middle Name*

Last Name*

Email Address*

Phone Number*

Father's Contact Information

First Name*

Father's Middle Name*

Father's Last Name*

Father's Email Address

Father's Phone Number

High-resolution Headshot

Username*

Password*

Confirm Password*

Only fill in if you are not human