Senator Yaw Student Government Seminar Registration

Thursday, March 7, 2024

Pennsylvania College of Technology
One College Avenue
Williamsport, PA 17701

Registration Deadline – January 15, 2024

Name of Advisor(s):*

Name of School*

Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Office Phone Number:*

Advisor's E-Mail Address:*

I plan to attend the 2024 Seminar*
Yes
No
PLEASE FEEL FREE TO INCLUDE UP TO 20 STUDENTS BELOW
Student 1
Name:

Student 2
Name:

Student 3
Name:

Student 4
Name:

Student 5
Name:

Student 6
Name:

Student 7
Name:

Student 8
Name:

Student 9
Name:

Student 10
Name:

Student 11
Name:

Student 12
Name:

Student 13
Name:

Student 14
Name:

Student 15
Name:

Student 16
Name:

Student 17
Name:

Student 18
Name:

Student 19
Name:

Student 20
Name:

Please indicate any students with food allergies by listing their names below, and include specific allergies:
Comments
This field is for validation purposes and should be left unchanged.