Tuesday Registration

FALL TUESDAY EVENING REGISTRATION

Please visit our Tuesday Evening Study Options page to review studies before registering.

Please note, form answers below will not be saved until you click SUBMIT at bottom of page. Thank you.

STUDY GROUP SELECTION

* Indicates required field

My first choice is: *

My SECOND CHOICE IS: *

PERSONAL INFORMATION

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Directory Phone Number *

Alternate Phone Number *

Occupation *

Hometown (City, State, Country) *

Birthday (MM - DD - YYYY) *

Spouse's Name *

Spouse's Department or Occupation *

My spouse is a: *

If your spouse is in training, what year will he finish? *

Is this your first year in Rochester? *

Yes No

Is this your first year at Side By Side? *

Yes No

CHILD INFORMATION

PLEASE LIST ANY CHILDREN FOR THE DIRECTORY *

PERMISSIONS AND POLICIES

PLEASE CHECK OFF THE FOLLOWING INDICATING YOUR AGREEMENT: *

I give permission for myself and/or my children to be photographed/videoed for the sole purpose of publicizing Side By Side. No identifying information will be revealed without additional expressed consent. I give Side By Side permission to publish pertinent information in a directory to be distributed to SBS members. No commercial use is intended. I also grant permission for Side By Side to use my email for announcements.

I agree to receiving marketing and promotional materials

Submit