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BICEP Series Application

Please read the BICEP series requirements carefully before you register.
All fields are required.

Head BICEP series leader:

First Name:   Last Name:
BJCP #:
Phone:   Email:

Other leaders (list names):

BICEP series location:

City:   State:  
Club Affiliation:
BICEP series start date (mm/dd/yy):   BICEP series length (weeks):

Presenter(s):

Presenter 1
Name:
BJCP #:
Qualifications:
Topic:
Presenter 2
Name:
BJCP #:
Quaifications:
Topic:
Presenter 3
Name:
BJCP #:
Quaifications:
Topic:
Presenter 4
Name:
BJCP #:
Quaifications:
Topic:

Proposed schedule, format and comments:


 
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