JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration 2025
Note:
All contact information will be posted on the Pick Chix Website, accessible only to Registered members.
Please wait for your Username and Password, which will be available in 24-48 hours)
All users MUST have a Google account to use the website.
* Indicates required question
Email
*
Your email
Name
*
(Please enter as FirstName(space)LastName)
Your answer
Phone Number
*
(Please enter as nnn-nnn-nnnn)
Your answer
Emergency Contact Name (Optional)
Your answer
Emergency Contact Phone No (Optional)
Your answer
Preferred email address
Your preferred email address for correspondence. Leave blank if same as above.
Your answer
Dietary Preference/Allergies
*
None
Vegetarian
Gluten-free
Vegan
Kosher
Halal
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report