Online Black History Camp Registration

FILL OUT AND SUBMIT THE FOLLOWING REGISTRATION FORM, AND MAKE TUITION PAYMENT BELOW...

BLACK HISTORY CAMP REGISTRATION FORM

Please list the name and age of everyone in your family taking the course

* Indicates required field

Name *

First

Last

Name *

First

Last

Age *

Name *

First

Last

Age *

Name *

First

Last

Age *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Which Session Will You Be Attending *

Which Days Do You Plan on Attending? *

All Seven Days Day I (12/26): Who Are We? Day II (12/27): The Motherland Day III (12/28): Afrikan Contributions to Civilization Day IV (12/29): The MAAFA Day V (12/30): Afrikan Contributions to America Day VI (12/31): The Freedom Fighters Day VII (01/01): Building Solutions for Tomorrow

Submit

SOMETHING POSITIVE. SOMETHING REAL.

FILL OUT AND SUBMIT THE FOLLOWING REGISTRATION FORM, AND MAKE TUITION PAYMENT BELOW...

BLACK HISTORY CAMP REGISTRATION FORM

make secured payment here:

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