NorCal Media Day registration
We're looking forward to seeing you at NorCal Media Day Oct. 14. In order to better plan for you and your students, please come back to this form and edit it if your numbers change more than two or three people — even through Friday night. (We want to make sure we have enough pizza for everyone — as well as programs and seating.)

If some of your students would like to sit down with an experienced adviser for a critique or simply a discussion about their publication, you can sign up here, and we will schedule a time on a first-come basis. You can verify your time slot when you check in your students for the day. (Note, this is a free service.)

Finally, when you arrive (the registration desk opens a 9 a.m. and the day begins at 9:30), we will ask you to provide us a list of all of the attendees and an emergency contact number of a parent or other authorized adult in case we are unable to locate you. You can fill out this form now, or your can provide us with a list when you arrive.

We're looking forward to seeing you on Oct. 14!
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Email *
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Name of publication(s) advised
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School or organization
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School or organization street address
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School or organization city
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School or organization Zip
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Cell phone number
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Total number of students and adults attending.
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Click here to register individual attendees with an emergency contact number (parent, guardian or other adult) we may contact in case of emergency if we are unable to locate the adviser. Each chaperone must also provide an emergency phone number and their own cell phone number. You may also upload a PDF with this information using this link.

If you are still finalizing the list, click on the link and bookmark it, then return to it later. We must have the names and emergency contact numbers
of all attendees of NorCal Media Day.
A copy of your responses will be emailed to the address you provided.
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