Student InformationStudent's Name* First Last School* Fall 2024 Grade Level (6th-8th)* Date of Birth* MM slash DD slash YYYY Allergies* Primary Contact PersonPrimary Contact Name* First Last Primary Contact Address* Street Address City State / Province / Region ZIP / Postal Code Phone Number*Alternate Phone Number*Email* Secondary Contact PersonSecondary Contact Name* First Last Secondary Contact Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone Number*Alternate Phone Number*Email* PaymentHow would you like to pay?* I want to pay $200 today (via PayPal) I will be paying via check or cash to BTCI I want to register today, but will pay later My student receives free or reduced lunch and is eligible for waiver of fee Standard $200 fee Price: Registered, but need to pay? If you’re already registered and just need to pay, please use our general payment form.