HerWorld Event Registration - Student

November 17, 2009
Holiday Inn Conference Center
130 Clairemont Avenue
Decatur, GA 30030

REGISTRATION IS CLOSED; any registrations made after 3pm on November 2nd and later cannot be accepted.
* = required fields
*First Name *Day Phone
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*Last Name Cell Phone
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*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
*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 October 30, 2009
 

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