Please fill out the form below to register your students for the Peer Education Training Day. Registration fees of $10 per student will be collected on September 10, the day of Peer Education Training.

Chapter Name
Adviser Name
Adviser Email
Adviser Phone Number
Student 1 Name
Student 1 Grade
Peer Education Team On:
Student 2 Name
Student 2 Grade
Peer Education Team On:
Student 3 Name
Student 3 Grade
Peer Education Team On:
Student 4 Name
Student 4 Grade
Peer Education Team On:
Student 5 Name
Student 5 Grade
Peer Education Team On:
Student 6 Name
Student 6 Grade
Peer Education Team On: