UHSSE Team 1991 - Student Registration Form
2018-2019 Season
Email address *
Last Name *
Your answer
First Name *
Your answer
Cell Phone Number *
Your answer
Student Email Address *
Your answer
Grade *
Gender *
Ethnicity *
Age *
Your answer
Hometown *
Your answer
Parent/Guardian 1 - Full Name *
Your answer
Parent/Guardian 2 - Full Name
Your answer
Parent/Guardian 1 - Email Address *
Your answer
Parent/Guardian 2 - Email Address
Your answer
Parent Cell Phone Number / Emergency Contact *
Your answer
Will parent volunteer to help the team? If so, in what capacity? *
Your answer
Parent contacts listed in a directory (only distributed to the team)? *
Completed STIMS Registration? *
Completed 4H Registration? *
Paid $60 registration fee? ($62 if paid by credit card) *
Size for Team T-Shirt? (Included registration fee) *
Parent 1 Place of Employment *
Your answer
Parent 2 Place of Employment *
Your answer
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