BLU PAC Member Information Form Question Title * First Name Question Title * Last Name Question Title * Information Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * RHHS Student #1 Question Title * RHHS Student #2 Question Title * RHHS Student #3 Question Title * RHHS Student #4 Question Title * Any additional information or data to provide Question Title * Select the committees you would like to participate on October/November: Student Go-Night Launch Party - Advertising & Attendance at event TBD: Student Pancake Breakfast/ Hot Chocolate Sale January: Science Technology Engineering & Math (STEM) Event February: Black History Month: African Diaspora Potluck at RHHS March: Social Event: TBD May: End of Year Celebration & Senior Farewell, June: Finals Madness Project Done