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Group Registration Application

Fill out the following information completely, and please note the Group contact does not have to register for Anime Boston and this is not a registration form. Group contacts must be 18+ and associated with an educational organization.

* = Required information

First Name: *
Last Name: *
Educational Organization: *
You must be associated with a school or educational group to qualify.
Your Position: *
Within your organization are you a teacher, employee, club president, etc...
Email Address: *
Confirm Email Address: *
Phone Number & Type: * Home   Mobile   Work
Numbers only, no letters or characters
Date of Birth: * Month:   Day:   Year:
You must be 18+ in order to request the group discount.
Group Total: *
Your group must have a minimum of 10 people.