Confluence 2018 Registration
Please fill out this form and pay the $50 registration fee (mkt.com/ugabcm) by NOON on September 12 to go to Confluence with the UGA BCM.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Year in School *
T-Shirt Size *
What is the earliest time you can leave on Friday, September 21? *
Transportation
Emergency Contact One - Name & Relationship to You *
Your answer
Emergency Contact One - Phone Number *
Your answer
Emergency Contact Two - Name & Relationship to You *
Your answer
Emergency Contact Two - Phone Number *
Your answer
Food Allergies
Your answer
Other Allergies
Your answer
Any additional information we need to know
Your answer
Submit
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