Registration Form 2019
Official Registration Form for HMCA 2019
(IMPORTANT: All delegates must be currently in high school in order to be eligible to attend HMCA)
School/Organization Name (official name to be used on all official documents and certificates): *
Your answer
School Organization Address *
Your answer
City *
Your answer
Country *
Your answer
Main Coordinating Faculty Name (this faculty member will be coordinating the registration process and all payments) OR Chaperone Name (for individual delegates): *
Your answer
Main Coordinating Faculty Email *
Your answer
Main At-Conference Faculty Name (this faculty member will be on-site during the conference): *
Your answer
Main at Conference Faculty Email *
Your answer
Second At-Conference Faculty Member (optional)
Your answer
Second At-Conference Faculty Member Email (optional)
Your answer
*If you wish to bring more than two faculty, an additional $50/faculty will apply. Please contact our Faculty Liaison if you wish to do so.
Main Faculty Member Dietary Restrictions *
Required
Second Faculty Member Dietary Restrictions *
Required
Number of Delegates Attending *
Your answer
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