Spring 2021 Program Registration Request Form
To register for a BBHPM program, please fill out this form. Your registration will not be complete until you receive a confirmation email from BannekerMuseum@BaltimoreCountyMD.Gov. Please note that due to weather and COVID-19 restrictions, these programs may change, be canceled, or may convert to a virtual format.
NEW: Please submit only ONE form PER PROGRAM. You may add all individuals registering for a singular program on the same form. If you would like to register for more than one program, please submit a separate form for each program.
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Your First and Last Name *
Email Address *
Your Phone Number (for last minute program changes) *
Which program would you like to register for? (Please add everyone in your party PER PROGRAM. Do not submit a new form for each person for the same program. Please do fill out this form for each new program you are registering for.) *
How many people are in your party? *
Name of Participant 1 *
Age of Participant 1 *
Name of Participant 2
Age of Participant 2
Clear selection
Name of Participant 3
Age of Participant 3
Clear selection
Name of Participant 4
Age of Participant 4
Clear selection
For parties of 5+, please type remaining participant names and ages below:
By typing your name below, you understand that your registration will NOT be valid until you receive a confirmation email from BannekerMuseum@BaltimoreCountyMD.Gov. If the program is full, you will receive an email notifying you. Due to COVID-19 staffing restrictions, it may be several days before you receive this correspondence. If your program requires a payment, pre-payment will be required. Instructions will come with your confirmation email. *
Please use this space to enter comments, questions, or accommodation needs:
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