Prestige AV & Creative Services

Monday July 13, 8:30-10:00 a.m.

Questions marked with an asterisk (*) are mandatory.

This registration form must be completed by the Adviser/Chaperone attending the Career Exploration.

This Career Exploration is limited to 50 participants.  Registrations will be accepted on a first-come, first-served basis.
1

* Total number of participants:
Must include an Adviser/Chaperone.
2

* Please list all participants (first and last names) attending this Career Exploration:
3

* Adviser/Chaperone Name:
4

* Chapter/School Name:
5

* State:
6

* Adviser/Chaperone Email Address:
Please list an address where you may be contacted after the school year.
7

* Adviser/Chaperone Cell Number:
Required in case of an emergency or cancellation.