HerWorld Event Registration - Student

REGISTRATION DEADLINE
March 16, 2012
Marriott Courtyard
formerly the Holiday Inn Conference Center - Downtown Decatur
130 Clairemont Avenue
Decatur, GA 30030
404.371.0204 
* = required fields
*First Name *Day Phone
--
*Last Name Cell Phone
--
*Your Grade (Ex - 11 or 12) Email Address
*Name of Your Parent/Guardian *Name of Your Educator
 
*Your Home Address *Name of Your School
 
*City Helpful Information:
Agenda
*State *Zip Q&A Sheet
Directions and Parking
*I have my parent's permission to attend HerWorld
(Please enter Y or Yes)
I authorize DeVry to release and /or use photographic likenesses of me and information regarding my involvement in HerWorld to newspapers or high school publications and in DeVry's promotional materials. RSVP by March 16, 2012.
 
 

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