SLC Group Summary

School: Whitman Academy
Conference: Sep 27-30, 2023
This SLC group registration may be edited until 2023/09/16

SLC Group Details

Type	Name	Gender	Email	Birthdate	Diet	Nat.	ID	Pic

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You have completed the participant list for this group (or are beyond the registration date). Send any requests to Anna at anna_kenyeres@acsi.org

NOTE that all information, except for participant types, can be edited later.

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First/Official Name*

Preferred Name (for name tag)*

Family Name*

Gender*

Date of Birth * (students must be 13 years old by Sep. 1)

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.*

Are you recommending this student as a Discussion Group Leader?

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

Editing:

Add the missing or incorrect data and leave other fields empty. Contact ACSI for edits to participant type.

First/Official Name

Preferred Name (for name tag)

Family Name

Gender

Date of Birth

Nationality

ID or Passport Number

Email Address

I give permission to use my image or likeness on ACSI websites for promotional purposes.

Diet: Normal, Vegetarian, Lactosefree, Glutenfree or Gluten & lactosefree

Street Address

City

Postal Code

School: Whitman Academy Conference: Sep 27-30, 2023 This SLC group registration may be edited until 2023/09/16

SLC Group Details

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School: Whitman Academy
Conference: Sep 27-30, 2023
This SLC group registration may be edited until 2023/09/16