2017 Queen of The Hill (QOTH) Registration
17 June 2017, 10am - 6pm
UNM-LA in Los Alamos
http://qoth.net/

We need this form completed for every girl attending the event, in order to share any updates, and in case we need to contact a parent or guardian during the event.

Parent's Information
Since this is for girls under 18, we need a parent or guardian to do the signing up.
Parent's Name
Your answer
Parent's phone number
Your answer
Parent's email address
Your answer
Girl's Information
Girl's Name
Your answer
Girl's handle
If she has a "hacker name" or nickname she'd like to go by, put it here and we'll use it on her nametag.
Your answer
Girl's email address
If she likes getting email we will copy her on announcements
Your answer
What grade will she be in this Fall?
Special needs
If the participant has any special needs we should be aware of, please let us know here
Your answer
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