BrightHER Holiday Bash

Workshop Sign Up Form

Complete the following form to attend the workshop.
Workshop: BrightHER Holiday Bash
Date: Thursday, December 4th
Time: 5:30 PM - 7:30 PM
Location: BE Center, 800 W. 5th Ave. Suite 201A Naperville, IL 60563
Personal Information
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Please enter a valid phone number.
Year in Junior High or High School for Fall 2025

6th Grade7th Grade8th GradeFreshmanSophomoreJuniorSenior
Additional Information
Do you have any questions or topics you'd like covered during the workshop?
I have permission from my parents to attend this workshop. *
Parent's Name*

First NameLast Name
Parent's Email
example@example.com
Should be Empty:

Workshop Sign Up Form