Teach Me: College and Career Preparedness Registration Form
Friday, January 10 from 6:30 p.m. to 11:30 p.m. at Mount Olive Baptist Church. Teens are encouraged to bring a friend!
Parent/Caregiver Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
How many children are attending?
*
Please list any allergies (if none, type N/A).
Please list the names of all children attending.
Child's Full Name
Child's Age
Child 1
Child 2
Child 3
Child 4
Child 5
Submit
Should be Empty: