Register for TEDxYouth@Chatham 7pm June 11, 2024

Senior Citizens:  Free admission; Please send an email with your name and email address to info@chathamedfoundation.org.  (No need to complete this form.)

All others: Enter the names and emails for all attendees being registered with this form (up to 5 attendees/form)

Attendee #1 Full Name*
Attendee #1 Email*
Attendee #2 Full Name
Attendee #2 Email
Attendee #3 Full Name
Attendee #3 Email
Attendee #4 Full Name
Attendee #4 Email
Attendee #5 Full Name
Attendee #5 Email

Donation for registration

Donation Amount*

A confirmation email will be sent after you make payment.  If you do not receive this email, please check your junk mail or spam folder.

Contact Information for person registering

Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
After you complete this form, select SUBMIT to enter your payment details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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