BDM Youth Round Table Registration Please fill out the sheet completely. Name: Gender: MaleFemale Birthday: Age: Grade: School: Home Address: Email: Phone: Cell: Home: Emergency Contact: Name: Phone: Relationship to student: Parent’s signature (If student is under 18): Contract Trenda Byrd, Curator of Education, for any questions at 410-216-6189 or trenda.byrd@maryland.gov **The BDM does not share contact information with any other individual or organization** Δ