BCYC Immersion Session 1

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payment_amount_override (enter intended amount + 1)

Participant's First Name

Participant's Last Name

Preferred Name

Participant's Email Address

Confirm Email Address

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Participant's Cell Phone Number

Gender

Female

Male

College Start Term (the semester you would enroll at college)

High School Name

T-Shirt Size

How did you first learn about BCYC Immersion?

Let us know how you found us:

Parent Information

Parent First Name

Parent Last Name

Relationship to you:

Parent Email

Parent Phone

Please select your track:

Sunday, June 13 - Athletic Leadership

Sunday, June 13 - Biology

Sunday, June 13 - Chamber Strings

Sunday, June 13 - Choral Singing

Sunday, June 13 - Graphic Design

Sunday, June 13 - Great Books

Sunday, June 13 - Nursing

Sunday, June 13 - Principles of Catholic Leadership

Track

Track Cost

Early Bird Discount

To activate the Early Bird Discount, enter your code (looks like “EARLYxxx”).

Discount Code

Early Bird Discount is not applied.

Spring into Summer Discount

To activate the Spring into Summer Discount, enter your code (looks like “SPRINGxxx”).

Discount Code

Spring into Summer Discount is not applied.

Scholarships and Promo Codes

If you have a scholarship or promotional code, enter it below.
Only one code can be applied to the registration cost.

Scholarship/Promo Code

No scholarship/promo code applied.

Buddy Referral: If another participant referred you to BCYC Immersion, enter their name to get your $50 Buddy Rebate (will be issued as a refund after you register).

Referring Buddy's Name

Continue to Payment

Total

Payment Options

Pay the $150 Deposit

Pay the Full Cost

Please note that your deposit is non-refundable.

To pay now:

You must pay this amount before attending:

Payment

Amount Due
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Amount Due

Transaction Fee

Dependent on selected payment type

Total

Dependent on selected payment type

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