2023 Leadership Workshop Registration - Community Blood Center

School Name*

What Club/Organization Do You Represent?*

Workshop You Will Attend*

Teacher Name*

First Last

Teacher Email*

Enter Email Confirm Email

Teacher Shirt Size*

How many students will attend?*

Please enter a number from 1 to 10.

Student #1 Shirt Size

Student #2 Shirt Size

Student #3 Shirt Size

Student #4 Shirt Size

Student #5 Shirt Size

Student #6 Shirt Size

Student #7 Shirt Size

Student #8 Shirt Size

Student #9 Shirt Size

Student #10 Shirt Size

Community Blood Center of the Ozarks is once again partnering with the Dickerson Park Zoo for a promotion in August and September. As part of this partnership, CBCO is offering FREE ZOO ADMISSION for all Springfield workshop attendees. You must use the admission ticket on the date of the workshop, after the workshop concludes. Is your group interested in visiting the Zoo?*

Yes
No

How many members of your group will visit the Zoo?*

Please enter a number from 1 to 11.