Clone of 2025 North Coast College & Career Expo Representative Registration

Representative Registration Form

When: Monday, September 21, 2026 • 5:30 - 8:00 p.m.

Where: Eureka High School • 1915 J Street, Eureka

Schedule:
3:30 Doors open for setup, table space provided
4:30 Dinner and coffee available for tabling reps and presenters

Parking will be reserved for all representatives on the day of the event.

Please note the venue change from prior years; Transfer Days will still take place at College of the Redwoods while CCX is being held at Eureka High School.

Registration Info
Representative/Primary Contact's Name

First NameLast Name
Title
School/Organization/Company
E-mail
Phone Number

Area CodePhone Number
What category best describes your organization?
Briefly describe your organization
How many representatives will be tabling?
Answer must be a number
How many representatives will join us for dinner during setup?
Answer must be a number
One six-foot table will be provided for your organization. How many chairs would be ideal? (We can guarantee up to 2 but will try for more if needed)
Answer must be a number
Has your organization participated in North Coast College & Career Expo before?
Comments or questions
Should be Empty:

Representative Registration Form