S.H.I.F.T Conference 2010

Students Having Information for Transition

“No More Kid’s Play. You ‘re Going to College”

First Name:  

Last Name:   

Mailing Address:  

City: 

State:  

Country:  

Cell Phone:  

Email:  

Date 

   High School:   

Home Phone:  

Facebook Address  (Optional):

Twitter  (Optional):  


Please note that after submission this form will transfer to a secured payment page. Your registration is not complete without the payment. Registration fee is non-refundable