BetaCon23 Nationals Beta Registration BetaCon23 Nationals Beta Registration Form Please fill in the following form to sign up for National Beta Convention. You may choose more than one event per category. You may or may not be able/allowed to participate in every event you choose for many reasons. We are happy to invite new members to groups, but you will need to speak to the sponsors in order to join groups you have not previously participated. Estimated Cost for National Convention is $750. A $150 deposit (or account credit) will be due by February 1st, and no refunds after March 1st. Name*FirstLast Personal Cell Phone* Area Code - Phone Number Email* Email confirmation* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Class*9th Grade10th Grade11th Grade12th Grade T Shirt Size*SmallMediumLargeX Large2X Large3X Large4X Large5X Large Academic Competitions (Only if qualified)Language Arts-12th GradePoetry-Division 1Biomedical Health-9th Grade Leadership Competitions (only officers may participate)Lead Outside the BoxProject ProposalCollaboration ConnectionLeadership Representative Open Nationals CompetitionsMeeting of the MindsReimagine, Recreate, RecycleCreate and AnimateConvention Invention Onsite Art (Only if qualified)Painting- Division 2 Visual Arts (only if qualifiedSculpture Team EventsEngineeringTwo Dimensional Design Performing Arts Solo, Duo, Trio- VarietyGroup Talent-MusicianGroup Talent-Lead VocalGroup Talent- DancerGroup Talent-Stage CrewShow Choir Word Verification I understand that by completing this registration, I am committing to attendance, payments, and practice and participation in the above events. I also understand that all betas attending convention assist with set crew while at convention.yesno I understand that I am representing myself, my family, my club, my school, and my state while at beta convention, and I will conduct myself in a manner that will only reflect positively only all of these. I will follow the code of conduct set forth by National Beta Club, and those of the LHS Beta Club. I will follow all verbal directives of my chaperones and sponsor WITHOUT complaint or attitude. yesno I understand that both photo and video will be made while at National Beta Convention. I agree to allow such images to be used by the National Beta Club, Tennessee Beta Club, Lexington Beta Club or Lexington High School in social media and local publications to promote the positive aspects of Beta. yesnoSubmitReset
