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Mock Trial Workshop for High School Students

Registration Page

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Required fields are marked by a red astrik *.

Personal Information

*First Name

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*Last Name

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*Address Line 1

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Address Line 2

*City

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*State

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*Zip Code

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*Phone Number

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E-Mail Address

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*Grade Level
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*Date of Birth (mm/dd/yy)

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*Gender
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Parent Information

*First Name

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*Last Name

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*Address Line 1

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Address Line 2

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*City

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*State

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*Zip Code

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*Home Phone Number

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Work Phone Number

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E-Mail Address

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Emergency Contact Information

*Contact Name

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*Contact Phone Number

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Alternate Phone Number
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*Relationship to Registrant

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High School Information

*High School Name

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*School Address

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*School City

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*Coach's Name

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Coach's E-Mail

Experience

*Years Experience

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Roles Previously Held
AttorneyMinimum number of selections not met.Maximum number of selections exceeded. WitnessMinimum number of selections not met.Maximum number of selections exceeded.

*Experience Level

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Prefrences

*Would you like to be placed with others from your school?

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Please rank the following sessions on your attendance prefrences. *1st Choice Please select an item.Please select a valid item.	*2nd Choice Please select an item.Please select a valid item.
*3rd Choice Please select an item.Please select a valid item.	*4th Choice Please select an item.Please select a valid item.
*5th Choice Please select an item.Please select a valid item.	*6th Choice Please select an item.Please select a valid item.
*Last Choice Please select an item.Please select a valid item.

Medical Information

Please describe any medical issues that we should be aware of below.

Rules of Conduct

Students must refrain from using tobacco, alcohol, or non-prescription controlled substances. Any infraction of this rule will result in immediate dismissal from the workshop without refund.

Release

The applicant and parant/guardian each hold harmless and indemnify the CWRU Mock Trial Program and Case Western Reserve University, their officers, directors, agents, employees, partners, endorsers and affiliates from and for any claim, injury or other liability of any kind which is caused directly or indirectly by the applicant, or which results from or during the applicant’s participation in the seminar.

Note: Entering the registrant and parent/guardian names below constitutes a signature and agreement to the above release.

*Registrant Signature (Name)
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*Parent/Guardian Signature (Name)
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MOCK TRIAL