Joy of Belonging Registration

Your School*

Your Email Address*

Names of Chaperones*

Section

Fill out the information below for up to 10 students from your school.

Name of Student 1*

Gender of Student 1*

Race/Ethnicity of Student 1*

Name of Student 2

Gender of Student 2

Race/Ethnicity of Student 2

Name of Student 3

Gender of Student 3

Race/Ethnicity of Student 3

Name of Student 4

Gender of Student 4

Race/Ethnicity of Student 4

Name of Student 5

Gender of Student 5

Race/Ethnicity for Student 5

Name of Student 6

Gender of Student 6

Race/Ethnicity of Student 6

Name of Student 7

Gender of Student 7

Race/Ethnicity of Student 7

Name of Student 8

Gender of Student 8

Race/Ethnicity of Student 8

Name of Student 9

Gender of Student 9

Race/Ethnicity of Student 9

Name of Student 10

Gender of Student 10

Race/Ethnicity of Student 10

Any dietary restrictions in your group?

Please list the names and dietary restrictions (if any) within your group.

Are there any mobility issues in your group?

If so, please describe.

Will you and your group plan to stay overnight in Charleston on Friday, March 6 (at your own expense)?*

Yes