You are registering for:
Fall 2022 (ANNUAL REGISTRATION FEE)
Dates:
08/27/22 - 01/20/23 (1:00 AM - 1:00 PM)
Price:
$40.00
NOTE:
Fields with an * are required.
Participant Information
Name *
First
Last
Birthdate *
MM/DD/YYYY
Gender *
Male
Female
Other Information
Email Address *
Required to send receipt.
Parent or Guardian Name First and Las *
Street Address *
City *
Zip Code *
Home Phone
Cell phone *
Emergency Contact Name *
Emergency Contact Phone Number *
Current Academic School *
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Coupon Code
Not case sensitive.
Waiver and Policies
I have read and agree to the
Policies
.
I have read and agree to the
Waiver and Release.