Bi-County Collaborative - Event Registration

^* indicates that the field is required.

User Account

User Name^*

Password^*

Confirm Password^*

Contact Information

First Name

Last Name

Middle Name

Primary Email

Email Type

Home Phone

Mobile Phone

Home Street Address

Home PO Box/Suite/Apt Number

Home City

Home State

Home Zip Code

MEPID

Primary Affiliation

Parent Affiliation

Work Information

I work for a Massachusetts Public School District
I am a Bi-County Collaborative employee
I work for another Company or Organization
N/A

Select your District

Select your school

Job Title

Job Category

Work Phone

^* I agree that the information I entered is accurate to the best of my knowledge and I agree to receiving communication from the Bi-County Collaborative regarding my account, registrations, orders, other details about our events, and any other important notifications. We will not sell your information.

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User Registration

Fill out the following information to create an account which you can use to keep track of your orders and registrations.

After you complete the form, a verification email will be sent to you with further instructions on accessing your account.

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Bi-County Collaborative
397 East Central Street Franklin, MA 02038
508-613-4021