Colorado Challenge Summer Institute Registration
First Name *
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Last Name *
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Date of Birth *
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Parent or Legal Guardian attending (Number):
What scholarship(s) are you receiving? *
Phone Number *
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Is the number you provided above a cell phone? *
Alternate Phone Number
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Personal Email Address *
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Alternate Email Address
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What high school did you (will you) graduate from? *
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What college are you attending in the fall? *
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