JA Career Success Workshop School Registration 

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* 1. School Name

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* 2. Date and Location of Program

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* 3. Number of Students

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* 4. Contact Person Name

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* 5. Contact Person Email

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* 6. Contact Person Cell Phone

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* 7. Program and lunch are provided to NJ schools at no cost thanks to the generosity of our corporate, foundation, and business partners. Considerable time and resources go into creating a quality, enjoyable experience for your students.  If you must cancel, kindly inform JA staff at least two weeks in advance.  
Schools must supply their own transportation.

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* 8. If you'd like to register for additional workshops, please enter the name and date of program and number of students attending. 

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