Carthage College Junior Science and Humanities Symposium Registration Form

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Wisconsin/Upper Peninsula Michigan Region

All student observers, designated chaperones, parents, guardians, mentors, or other guest are required to complete this form.

Student presenters DO NOT FILL OUT THIS FORM. Instead, they complete the JSHS registration form.

First Name *

Last Name *

Email (for future JSHS communications and attendee information) *

I am a *

Student Observer

Designated Chaperone

Parent/Gaurdian

Mentor/Educator

Guest

School Name (school of student presenter or student observer) *

School Address (Street, State, Zip) *

Yes, I would like to receive information about Carthage's undergraduate programs. *

Yes

Submit

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