HBCU-NBDC 2023 Convention Registration Form
March 29-April 2, 2023; Georgia Internation Convention Center, College Park, GA
Email *
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Date *
MM
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DD
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YYYY
Your Name *
Your answer
Your College/University/K-12 Institution *
Your answer
School Address *
Your answer
Your Phone Number *
Your answer
Your Department Chair/Principal's Name and Email Address *
Your answer
Specialty Area (Check one) *
Profession Status (Check One) *
Type of Participation *
Email *
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Student Roster
(Full Name, Classification, Instrument and T-Shirt size for each student you intend to bring to the convention)
Please answer each section below for every student attendingFull Name, Classification and Instrument for each student you intend to bring to the convention. Please separate each entry with a semicolon-- ; ). If you do not intend to bring students, place N/A below. *
Your answer
Your Name
Your answer
Email Address
Your answer
Classification
Instrument
List Primary Instrument Only
Your answer
T Shirt Size
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