Registration Type: Please select Chaperone JA USA Staff Student judge Sponsor Team Guest Wednesday Evening Guest
Registration Type: Select Chaperone Student JA USA Staff Judge Sponsor Team Guest Wednesday Evening Guest
Personal Information
First Name
Last Name
Full Name as it should appear on your name badge
Preferred Pronouns Please select He/Him/His She/Her/Hers They/Them/Theirs No preference Other
Please specify
Do you want your pronoun on your namebadge? Company/Organization
Job Title
Email
You will receive an email from Background Information Services (BIS) for a confidential background check.
Home Address
Work Phone Number
Cell Phone
Role of Chaperone Please select Educator JA Staff Parent Volunteer Other
Birth Date
Age
School Name
Dietary Restrictions (select all that apply) T-Shirt Size (Unisex) Please select XSmall Small Medium Large XLarge XXLarge XXXLarge XXXXLarge
Emergency Contact Name and Phone
In order to accommodate any and all disabilities, please provide a brief description of any disabilities you may have and any specific accommodations you require.
Please list any medical needs, medications, and/or allergies.
Student Company/Team Information
Which student competition are you associated with? Please select Company of the Year (COY) Social Innovation Challenge (SIC) Stock Market Challenge (SMC) Titan Challenge
Which COY student company are you associated with? Please select Calm Canvas Caring Cards Charm Dept. EARTHA Elkins Very Own (EVO) Flutter Fan Green Garden Bakery Happy Back InkyDoodle InnovaQuest My Gym Buddy Oatley ProTech Simply Co. Steer Clear
Which SIC student company are you associated with? Please select All SourcED Athletassist Breaking Dough CalmPulse Compost Heroes Environet FreshRoots GoodMate Louder Than Words PreParachute Serene Shade Speak Easy AR Terra Femimime Products The Three Gardeneers Whistle
Which SMC student team are you associated with? Please select The Eagles Bears In A Bull Market Bellefountain Belmont High School Bold City Brokers Broke to the Future BuHay Sello Bullish Billionaires CGWA 1 CGWA 2 CovCath 1 Dollar Dreamers Duval Dealmakers Eagle's Edge Capital Equity Enthusiasts Fiscal Cliff Hangers Futures Knights Hampton Hawks Hedge Fun Heritage Gen Z Traders Highland High School 1 Highland High School 2 Kureki Lincoln East FBLA Loan and Behold Monkey Boys NWCTA 1 NWCTA 2 Pulse of Wall Street Ridgefield Tigers Roaring Kitty Los Zorros Financial Group Blue Diamonds The Risky Divas Stock Surgeons Stonks Greed is Good Charleston Team Goats Team Maverick Visionaries Trading Titans Denver Academy of Torah Trust Fund Babies Dividend Divas Wilton Warriors
Which Titan Challenge student team are you associated with? Please select C-Suite Cyclone InnovatHERS Me More Monie Mediapolis Team 1 Mediapolis Team 2 Nathan & Charlie Yo Inc. Gurt Inc. HD Technologies The Connection Capitalists The Uncrowned Kings Tornado Takeover Tornado Tycoons Vision Capitalists East Deering Company
Does your company/team have a web presence?
Does your company/team have a web presence?
Please provide a one-two sentence description of your company/team and product that will be shared with judges and the public. Please write the description in the third person starting with the company/team name.
If your student company/team is supported by a sponsor, please list all sponsors here (if this does not apply, please type "none").
Does your student company/team plan on flying or driving to the Atlanta, GA? Please select Flying Driving
Agenda
Please select which events you are attending.
Monday
Breakfast in the Dorm Cafeteria? (7:30am - 8:30am) Site Visit? (11:00am - 2:30pm) Please select Yes - Delta Yes - Chic-fil-A Yes - Staples Yes - Pacific Life Yes - Mercedes No
Welcome and Dinner? (5:00pm - 6:30pm) Tuesday
JA USA will assign a workshop to you depending on the final placement of the students from your team.
Please rank the workshops listed below in your order of preference: first choice, second choice, and third choice. Please note, you will only attend one of these workshops.
Round 1 - Creative Collaboration: (8:30am - 9:45am)
Stock Market Challenge Light Please select 1st Choice 2nd Choice 3rd Choice
Leadership Please select 1st Choice 2nd Choice 3rd Choice
Brand and Marketing Please select 1st Choice 2nd Choice 3rd Choice
Round 2 - Developing Personal and Professional Skills: (10:00am - 11:15am)
Networking Please select 1st Choice 2nd Choice 3rd Choice
Interview Skills Please select 1st Choice 2nd Choice 3rd Choice
Professional Skills Please select 1st Choice 2nd Choice 3rd Choice
Breakfast in the Dorm Cafeteria? (7:30am - 8:15am) Workshops? (8:30am - 9:45am & 10:00am - 11:15am) Workshops - Round 1 (8:30am - 9:45am) Please select Stock Market Challenge Light Leadership Brand and Marketing None of these
Workshops - Round 2 (10:00am - 11:15am) Please select Networking Interview Skills Professional Skills None of these
Grab and Go Lunch? (11:30am - 12:30pm) Student Expo? (1:00pm - 3:00pm) Dinner in the Dorm Cafeteria? (4:30pm - 6:00pm) Wednesday
Breakfast in the Dorm Cafeteria? (7:30am - 8:15am) Company of the Year Presentations? (9:00am - 12:30pm) Social Innovation Challenge Presentations? (9:00am - 12:30pm) Stock Market Challenge? (1:30pm - 4:00pm) Titan Challenge? (1:30pm - 4:00pm) Lunch in the Dorm Cafeteria? (12:30pm - 1:30pm) Judge and Sponsor Lunch? (12:30pm - 1:30pm) VIP Reception? (5:30pm - 6:45pm) Awards Gala? (6:45pm - 9:00pm) Travel Information
Guest are responsible for their own travel and lodging arrangements.
JA USA will handle your room reservations. Please provide your travel details below.
JA USA has secured a group room block at Hotel Indigo. Please let us know if you will need a hotel room during your stay in Atlanta, and we will reach out with a reservation link.
Will you need a hotel room? Arrival Date and Time
Arrival Airport
Arrival Airline and Flight Number
Packages Select Package 0.0
0.0
Payment Section Select Payment Method Stripe (Stripe)