2019 Hispanic Educational Summit Registration Form
Date: Friday, March 29, 2019
Event Address: The McKimmon Center, North Carolina State University, 1101 Gorman St., Raleigh, NC 27606
Contact: (919) 467-8424 or mailbox@thencshp.org
District *
Contact *
Position *
Email *
School *
Address 1 *
Address 2 *
City *
State *
Zip Code *
# Students Pre-Reg *
Grade Breakdown of Students Registered
Please Input below the number of students registered to attend in each grade grouping. If a grade grouping does not apply, enter "0."
# Students 7-8:
# Students 9-10:
# Students 11-12:
Number of Students Grades 7-8 *
Number of Students Grades 9-10 *
Number of Students Grades 11-12 *
Number of Chaperones *
Additional Comments
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This form was created inside of North Carolina Society of Hispanic Professionals.