Senator for a Day Registration - St. Mary's

Friday, October 16, 2026
8 a.m. – 1:30 p.m.

Sacred Heart Parish Center
337 Center Street
St. Mary’s, PA 15857

Registration

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Advisor(s):
Advisor Contact Number:
Advisor E-Mail Address:
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School Name
School District: (For Home School Students)
Is there any students with dietary needs/food allergies? If so, please describe below.
Please provide the name(s) of any student(s) who attended last year’s event
Student 1
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 2
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 3
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 4
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 5
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 6
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 7
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 8
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 9
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education
Student 10
Student Name:
Committee Choices: Please mark 1st, 2nd, 3rd choices only per student
State Government Communications and Technology Game and Fisheries Environmental Resources and Energy Education

Friday, October 16, 2026 8 a.m. – 1:30 p.m.

Sacred Heart Parish Center337 Center StreetSt. Mary’s, PA 15857

Registration

Student 1

Student 2

Student 3

Student 4

Student 5

Student 6

Student 7

Student 8

Student 9

Student 10

Friday, October 16, 2026
8 a.m. – 1:30 p.m.

Sacred Heart Parish Center
337 Center Street
St. Mary’s, PA 15857