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WORKSHOP REGISTRATION
Course:
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Email:
First Name:
Last Name:
Cell Number:
Allow Texts:
Alt. Email:
Country:
Country (Other):
Home Province/State:
Home Postal Code/ZIP:
Hear of Us:
Hear (Other):
School Board:
Full School Name:
Role:
Role (Other):
About you...
Student Challenge:
Challenges this year:
Participation Agreement
Media Release
Error(s) detected. Check for missing fields.


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