Interest & Sign-Up: Fall 2021/22
Hey there, thanks for your interest in the Brock Learners Association! Please complete the form below and we'll be in contact with you for future updates and events!

Any questions? Send us an email at

*** Please use your student email, e.g. ***
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Email *
Name *
First and last name if applicable, e.g. Marcus Villena
Discord username (e.g. marcus#2068)
We have a Discord server for events, notifications, and chat! Want to learn more? Visit
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