Dreams 2 Reality Day
Open to students ages 13 through 16. The first 100 students will be registered. All students who register will be notified of their status, and must provide a parent or guardian release.

Date: July 9, 2016
Event Time: 10:00 am - 3:00 pm
Check in begins at 9:30 am

For questions please email: jacksoncountyrosequeen@gmail.com

First and Last Name *
Your answer
Email *
Your answer
Age *
Parent or Guardian Full Name *
Your answer
Parent or Guardian's Phone Number *
Your answer
Alternative Phone/Name of Party
Your answer
Mailing Address *
Your answer
Dietary Needs *
I understand that I must have my parent or guardian's approval in order to attend this workshop *
I understand that I must provide my own transportation to and from the workshop at Baker College *
I understand that this program is open to the first 100 students ages 13 to 16. If I am not one of the first 100, your name will be placed on a waiting list and you will be contacted if an opening becomes available.
I understand that if I do not participate in a manner that is acceptable, I will be dismissed from the workshop and a parent or guardian will be contacted. *
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