Contact Information

Contact Name     

Address                (address of where program is to be held)

 Phone                  

Other Phone        

Fax                        

Email                     

Participant Registration

Program Type                                                           

Participant/ School/ Group Name                          

Program Date                                                            

Participant's Date of Birth/Group Age Range          

Number of Participants                                            

Program Type                                                           

Participant/ School/ Group Name                          

Program Date                                                            

Participant's Date of Birth/ Group Age Range      

Number of Participants                                           

Previous Forensics 101 workshops?        

,                          

Any additional information, notes or instructions?    

Would you like to donate to the Forensics 101 Development Fund? (What's This?)

Yes   No   If Yes, please enter amount you wish to contribute (ex. $20)       

Would you like to donate to the Forensics 101 Scholarship Fund? (What's This?)

Yes   No   If Yes, please enter amount you wish to contribute (ex. $20)       

How Would You Like to Pay?

 Check/Money Order  Pay with Credit Card using Paypal (an email link will be sent to you)

How did you learn about Forensics 101? (optional but greatly appreciated)  

You will receive an email confirmation within two business days.  

If you indicated that you would like to pay via credit card, a link to Paypal will be emailed to you. 

If paying by check or money order, please submit payment to the following address: 

Forensics 101

PO Box 681691

Charlotte, NC 28216  

(Please make checks or money orders payable to Forensics 101)