BC Showcase Registration

STUDENT INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Current School REQUIRED Please fill out this field. Please enter valid data.

Home School District REQUIRED Please fill out this field. Please enter valid data.

Current Grade Level REQUIRED 5 6 7 8 9 10 11 Please fill out this field.

PARENT/GUARDIAN INFORMATION

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED Please fill out this field. Please enter a phone number.

Email REQUIRED Please fill out this field. Please enter an email address.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Other: Please enter valid data.

Bishop Canevin High School