2018 MIDDLE SCHOOL MOCK TRIAL PROGRAM
Registration closes DECEMBER 21, 2017. The program will start JANUARY 11, 2018 and meet every Thursday until May 17th. The team will not meet during FEBRUARY or APRIL vacation or school holidays. The team will meet in the HALE LIBRARY in STOW from 3:30 - 4:30.
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STUDENT INFORMATION
School Student Attends *
Preferred Participation Day *
Please indicate from the list below the day that best fits your schedule.
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Student's First Name *
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Student's Last Name *
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Student's Address *
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Student's Town *
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Student Grade *
Allergies *
Please choose NA if none of the below apply *
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Epi Pen *
PARENT INFORMATION
Parent First Name *
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Parent Last Name *
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Parent Personal Email *
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Parent Work Email *
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First and Last Name of Emergency Contact 1 *
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Phone Number of Emergency Contact 1 *
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First and Last Name for Emergency Contact 2 *
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Phone Number for Emergency Contact 2 *
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Medical Information
Doctor Name *
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Doctor Phone Number *
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Dentist Name *
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Dentist Phone Number *
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By checking the below box I agree that all the above information is correct, and I understand that the information will be shared with the Mock Trial Coaches. *
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