Register for Balfour | Virginia 2016 Fall Intensity Workshops

Each yearbook class must register.

• School Name *
• Advisor Name *
  First Last
• Advisor Email *
• Workshop Location
  Please selectManassas (Sept 29)Richmond (Oct 12)Charlottesville (Oct 18)
• How many will attend? *

  	Number of Attendees
  Advisors
  Students
• How many students are primarily the following roles? Please choose one role per student.

  	Number of Student Roles
  Editor
  Writer
  Designer
  Photographer
  Business Manager
• Any Dietary Restrictions?
• Medical Release
  (please make
  applicable choices) *
  I AGREE that in the event of an emergency, by checking this checkbox on this form, I authorize the administration of medicial and surgical treatment deemed necessary by a board-certified medical doctor for the attendees named above.

  I AGREE there are no religious or other considerations that prevent medical or surgical treatments for the attendees named above.
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