Summer 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.)
Clear selection
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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