Immediately after registering, please be prepared to choose your BEST session and make payment.

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* 1. BEST Student's Name :

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* 2. BEST student's current grade during 2018-2019 academic year :

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* 3. BEST student's current school :

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* 4. Parent/Guardian :

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* 5. Parent/Guardian's Address  :

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* 6. County:
(For example; Gloucester, Camden, Burlington, Salem, Atlantic, Ocean, etc.)

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* 7. Parent/Guardian's Contact Information:

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* 8. Parent/Guardian's E-mail address :
E-mail will be the only mode of communication.  A reliable email address that is checked frequently, is required.

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* 9. BEST Student's E-mail address or alternate e-mail address : (optional)

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* 10. Emergency Contact (if above parent/guardian cannot be reached:

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* 11. Medical Information

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* 12. Please provide information about the following, if it applies to your child and explain:
(If additional space is needed, use question #13 comment box)

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* 13. Please list any other information you feel we should know about your child:

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* 14. Media Release
I hereby grant the permission to record my child’s likeness and/or voice for use by television, films, radio, or printed media to further the aims of Rowan University in related campaigns and magazine articles, booklets, posters, and in other ways they may see fit.

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* 15. Emergency Clause
In the event I cannot be reached in an emergency, I hereby give my permission to contact Rowan University Public Safety and/or Rowan University Police to secure proper medical care for my child as deemed necessary. This permission extends from minor first-aid treatment to (under a doctor’s orders) hospitalization, injections, anesthesia, surgery, and other medical procedures deemed necessary.

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* 16. Release Clause
I release and hold harmless Rowan University and any officers, employees or agents thereof, including without limitation from any and all claims, liabilities, or demands whatsoever arising out of the enrollment or participation in any program by the participant herein.

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* 17. Safety Procedure Clause

BEST student is aware of and will follow the dress code below:

NO FLIP-FLOPS OR TANK TOPS.
Must wear long pants and closed-toe shoes/sneakers.
Bring a sweatshirt as labs are cold.

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* 18. Lunch

The BEST student and his parent/guardian are aware that pizza is being served for lunch.

If conditions exist that prevent the student from eating pizza, the student is required to provide and bring his own lunch.

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* 19. Date

Today's Date
Please click on the "Done" button to complete your BEST registration and submit payment

To finalize your registration and be accepted into the BEST program, the payment process, which is the next step, MUST be completed. Please contact Kathy Urbano at urbano@rowan.edu or 856-256-5309 with questions.

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