Triple5teens Registration Form
Please Complete all Sections
Email address *
First Name *
Your answer
Last Name *
Your answer
Parents' Name *
Your answer
Emergency Contact Information *
Your answer
Do you have the Following Social Media Accounts
Age *
Your answer
What School Do you Attend?
Your answer
Signature (If over 18)
Your answer
Date
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YYYY
Parents Signature (If under 18) *
Your answer
Date *
MM
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DD
/
YYYY
What Location Would you like to Attend(check all that apply) *
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