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Interest Form
First Name is your full first name (ie Robert NOT Bobby). Preferred name is what you wish to be called and will appear in the heat sheets and results (ie Bob instead of Robert).
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Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Preferred Name
Your answer
Email
*
Your answer
Guardian Name
*
Your answer
Guardian Email
*
Your answer
2nd Guardian Name
Your answer
2nd Guardian Email
Your answer
A copy of your responses will be emailed to the address you provided.
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