WCDS Student Spiel Team Registration
Dentistry and Hygiene Students Only
Name of Person submitting Registration
*
First Name
Last Name
Email of Person submitting Registration
*
example@example.com
*
Student Full Name
(if unknown enter "TBD")
Email Address
(if unknown enter "TBD")
Skip
Third
Second
Lead
Any Student Team Member Dietary Restrictions or Special Requests? (optional)
Student Team Registration
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Student Team Registration
$
80
CAD
Total
$
0.00
CAD
Credit Card
Submit
Should be Empty: