The New Years Conference
Indianapolis, IN - December 28-31 2024 - Pick up at SCE 10am on the 28th back at SCE at 2:00PM on the 31st
Name
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First Name
Last Name
How interested are you in attending the New Year’s Conference? December 28-31 2024; Indianapolis, IN
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I'm in, sign me up now
Interested but need time to decide
I can't go
Not interested
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Gender
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Female
Male
Ethnicity
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Year in School
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Please Select
Freshman
Sophomore
Junior
Senior
Senior+
Grad Student
Which Chicago school do you attend?
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Please Select
Chicago State University
DePaul University
University of Illinois Chicago
Roosevelt University
What is your major?
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Are there any students you would prefer to room with?
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Date of Birth
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-
Month
-
Day
Year
Date
Emergency Contact Name:
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First Name
Last Name
Emergency Contact Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
Any food allergies:
T-shirt size
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Please Select
Small
Medium
Large
X-Large
2 XL
I understand, if I fail to attend NYC, I am responsible for paying $300.
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I understand
Reason you can't go:
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Any info you need?
*
Complete Registration
Should be Empty: