ONLINE WORKSHOPS
Please complete this form to sign up for Online Workshops.

BE SURE TO CLICK SUBMIT BUTTON AT THE BOTTOM OF THIS FORM or YOUR REGISTRATION WILL NOT BE RECEIVED! ALSO REMEMBER TO RETURN TO THE WEBSITE IN ORDER TO PAY FOR THE WORKSHOP.

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Student First Name *
Student Last Name *
Enter Grade Level or "College" or "Adult" *
PRONOUNS
Parent Full Name (College/Adult Students: Enter your own name.) *
NAME OF WORKSHOP *
Required
Are you REGISTERING AS PARTICIPANT OR OBSERVER? *
Parent or College/Adult Student's Email  (PLEASE USE THE SAME EMAIL FOR PAYPAL PAYMENT & CORRESPONDENCE. THIS IS HOW ENROLLMENT AND PAYMENTS ARE RECONCILED. *
Cell Number *
Name of School District  or College Attending *
Your Town *
How did you hear about BAC? *
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