TEC #52 Team Application

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TEC #52 Team Application

TEC Team Application

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Name you prefer to be called

Your answer

Street Address *

Your answer

City *

Your answer

State *

Your answer

Zip Code *

Your answer

Cell Phone Number (555-555-1234) *

Your answer

Email Address *

Your answer

Graduation Year *

Your answer

High School *

Your answer

T-Shirt Size *

S

M

L

XL

XXL

XXXL

Sex *

Male

Female

Church Affiliation *

Your answer

Church Phone Number

Your answer

Parent/Guardian Name *

Your answer

Parent/Guardian Phone Number (will be used for emergencies) *

Your answer

Parent/Guardian Email (will be used for parent "signature")

Your answer

Medical/Dietary/Special Needs

Your answer

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