Tipp JH XC Registration

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Tipp JH XC Registration

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Grade Level for 2021-22 Year *

7

8

Cell # *

Your answer

Email Address *

Your answer

Date of Birth (example format: 4/3/03) *

Your answer

Address *

Your answer

Parent Email *

Your answer

Mother's Name (First and Last Name) *

Your answer

Mom's Cell # *

Your answer

Dad's Name (First and Last Name) *

Your answer

Dad's Cell # *

Your answer

Submit

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