Spring Symposium Registration Form

Thank you for your interest in participating in this year's Spring Symposium. Please fill out all of the information requested below. You will receive an auto-reply email message, which serves as important confirmation that the form was submitted properly. If you have any questions about registration, contact the Outreach Center Director, Brett Goble, bgoble "at" cityhighschool.org or (520) 661-0202.

Participant Name*
FirstLast
Primary Phone*
required format is (###)###-####
Email*
Participant's Home Address*
Street AddressCityStateZip Code
Organizational Affiliation*
What is the name of the school, district, nonprofit, etc. with which you are affiliated?
Organization's Address*
Street AddressCityStateZip Code
Organization's Website (if applicable)
Method of Payment*
- Invoice my school or district; purchase order # is listed below.
- I will send a personal check within 5 days of registering for the event.
- Credit card purchase; please use Pay Pal link below.
- I will pay on the day of the event (note: we cannot accept credit card payments at registration)
Purchase Order #
Any additional information you would like to add ...
Feel free to share any brief information about your school or district that might be helpful for the facilitators of the Spring Symposium

Spring Symposium Registration Form

City High School – Tucson, ArizonaSpring Symposium Registration Form | A Charter High School in Downtown Tucson