Middle School Conference B General Assembly Registration Form

Please only submit one form per team. You must have all of your team members' information before you can fill out this form. Please provide valid email addresses or you will be unable to complete the registration process.

Please rank your country preference in order, with 1 being your first choice. Countries will be assigned at random based upon your preferences. If you fail to list all 10 choices, you may be assigned a country not of your choosing. You will be notified once you have been assigned a country.

Choice 1:
Choice 2:

Choice 3:
Choice 4:

Choice 5:
Choice 6:

Choice 7:
Choice 8:

Choice 9:
Choice 10:

School:

Delegations will consist of 4 students. In cases of odd numbers, some countries may have only 3 delegates, however, delegations of 5 are not permitted.


NOTE: Please use the following format for phone numbers: (123)SPACE456-7890

Student One:

First Name: A value is required.Last Name: A value is required.Gender: Please select an item.
Address: A value is required.City: A value is required.State: A value is required.Zip: A value is required.Invalid format.
Birthday:
Please select an item. Please select an item. Please select an item.
Cell Phone: A value is required.Invalid format.Grade: Please select an item.
Parent Name(s): A value is required. Parent Phone: A value is required.Invalid format.Parent Email: A value is required.Invalid format.
 Student Email: A value is required.Invalid format. Years at MUN (if first year put 1)

Student Two:

First Name: Last Name: Gender: Please select an item.
Address: City: State: Zip: Invalid format.
Birthday:
Please select an item.
Cell Phone: Invalid format. Grade: Please select an item.
Parent Name(s): Parent Phone: Invalid format.A value is required.Invalid format. Parent Email: Invalid format.
Please select an item. Student Email: Invalid format. Years at MUN (if first year put 1)

Student Three:

First Name: A value is required.Last Name: A value is required.Gender: Please select an item.
Address: A value is required.City: A value is required.State: A value is required.Zip: Invalid format.A value is required.Invalid format.
Birthday:
Cell Phone: Invalid format.A value is required.Grade: Please select an item.
Parent Name(s): A value is required. Parent Phone: Invalid format.A value is required.Parent Email: Invalid format.A value is required.Invalid format.
Please select an item.Student Email: Invalid format.A value is required.Invalid format. Years at MUN (if first year put 1)

Student Four

First Name: A value is required.Last Name: A value is required.Gender: Please select an item.
Address: A value is required.City: A value is required.State: A value is required.Zip: Invalid format.A value is required.Invalid format.
Birthday:
Cell Phone: Invalid format.A value is required.Grade: Please select an item.
Parent Name(s): A value is required. Parent Phone: Invalid format.A value is required.Parent Email: Invalid format.A value is required.Invalid format.
Please select an item.Student Email: Invalid format.A value is required.Invalid format. Years at MUN (if first year put 1)

You may need to wait up to 1 minute for your form to process, please do not click submit more than once.

Please note, the information contained in this form will be sent for verification to all of the email addresses (parent and student) provided in the form above.

After pressing submit, scroll up to see if you have incorrectly completed any fields (they will be highlighted in red)