Reverse: Register

reverse 2014 student conference registration

* Indicates required field

Students,
If you would like to attend the Reverse 2014 Student Conference, simply fill out this form. There's only room for 12 so not everyone will get to go. We'll let you know ASAP if you're in!

DATE: January 24-25, 2014
COST: $60 per student*

*Need-based Half and Full scholarships will be available on a first-come basis.

Name *

First

Last

Email *

Grade *

Why would you like to attend the Reverse Student Conference? *

Would you need financial assistance? *

Yes No

reverse 2014 student conference registration

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