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Club Champion Form
Use this form to let us know that you have interest in forming a Heads Up Club

Once you complete the form please email team@headsupclubs.org
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Email
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Grade?
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Approximate school population?
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Full Name
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Did anyone from Heads Up reference you? If so, please put their name. If not please put N/A
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Email
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Phone Number
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Grade?
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School
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Approximate school population?
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