DCCS College Planning - Student Conference
Student Registration and Permission Form

The 2023  College Planning Conference will take place at the W.E.B. Dubois Learning Center: 4510 Linwood Blvd, Kansas City, MO 64128 on July 15, 2023. Students are expected to commit to the entirety of the conference from 8:30 AM-3:00 PM.  (LIMITED SPACES)

 Please ensure all supporting documents are submitted. 
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email address *
First Name *
Last Name *
Parent/ Guardian First & Last Name
Gender *
Phone number *
Date of Birth *
MM
/
DD
/
YYYY
Age/ Grade Level *
Name of high school last attended *
What is your current GPA? *
Demographic: Select all that apply *
Required
How excited are you about taking college courses *
A little nervous
Very Confident
Tell me why you want to participate in the conference? *
What is your T-Shirt size? *
Do you have any know allergies? If yes, list below *
Do you have any dietary restrictions? If yes, list them *
Emergency Contact Name & Number *
Submit
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