Workshop Registration Form

Tech Tool Registration

Veterans Upward Bound
Session
Name:*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Phone Number*
Are you a veteran?*

YesNo
Choose your favorite technology tool from the list.*

Alexa Echo Dot Smart SpeakerAmazon Fire TabletGoogle Home Mini Smart SpeakerKasa Smart PlugRocketbook Smart Notebook
Will you be attending in-person or online?

In-person in BillingsOnline
Next Step:

After clicking on the Submit button, you will be directed to our application to complete your request.
Should be Empty:

Tech Tool Registration