Registration Form For Participating Adults, Accompanied Students, and Student Shadows (See Legislative Shadow Program Application Form for Students, Grades 8-12)

Legislative Day 2009 at the Capitol

Celebrating Excellence

Sponsored by Colorado Association for Gifted and Talented

Thursday, February 19th, 2009

7:30 AM - 3:00 PM

Colorado History Museum (1300 Broadway) & Colorado State Capitol (Colfax and Lincoln)
Registration Fee: $25* per person (includes light breakfast and lunch)
*LIMITED SCHOLARSHIP AVAILABLE BASED ON NEED

Legislative Day 2009 Registration

Adult Information

First Name *

Last Name *

Adult 2: First Name

Adult 2: Last Name

Street Address *

Street Address - Line 2

City *

Zip Code *

Email Address *

Phone Number *

Is your child applying for student shadowing? (grades 8-12 only) Yes No

Student Information (All Field Required If Student Is Shadowing)

First Name

Last Name

Grade

School Name

School District

* Denotes Required Fields