Global Game Jam at Universities at Shady Grove
Registration Form

Directions:  
1.  Complete this form for each participant. Print legibly or type information.
2.  Send form to Prof. Kathleen Harmeyer 
    a.  Email: kharmeyer@ubalt.edu
    b.  Fax: 410 837-6252
3.  Mail check or money order for $10.00 payable to University of Maryland to be received 
before January 26, 2009. 

	Mail to:
	Prof. Kathleen Harmeyer
	University of Baltimore 
	1420 N. Charles Street
	Baltimore , MD 21201


You will receive an email confirmation of your registration.
Arrival date of checks is official registration date.


First Name: _______________________________________________________



Last Name: ________________________________________________________




Email address: 	__________________________________________________
	


Revised: 1/14/2009 to move due date to January 26.