2025 NWMLS Student Group Form

This form is designed for program directors to register their students. Each student will receive confirmation and instructions for accessing the sessions.

ASCLS-WA will pay for registration for students in the Washington-based programs.

The program director/contact person in other states will be invoiced for payment for their students. That invoice will come from Square. If you wish to include the Contact person in the billing, please complete the fields below and check the box to include the contact person. This invoice is payable with a credit card. Please comment if a separate emailed invoice is required rather than that sent from Square.

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Facility

Facility City/State

Email

example@example.com

Who will we be billing you for?

Students onlyInclude contact person

If billing for contact person please show membership level.

Comments

Please enter the names of the students along with their email addresses. Alternately, you may upload either a Word document or a spreadsheet file with this information. The upload button is below the spreadsheet. If you chose to upload a file, the table does not have to be completed.

Please use tab or your mouse to go from one field to another. If you press Enter, the form will submit before you had a chance to finish. An uploaded file may be easier and works well for us.

Please input the names and emails of your students.

	Name	Email
Student
Student
Student
Student
Student
Student
Student
Student
Student
Student
Student
Student
Student
Student
Student

File Upload

Instead of filling in the table above, either a Word document or a spreadsheet may be uploaded.