Pre-Registration Form

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Pre-Registration Form

Note: Please complete this form only if you are 13-17 years old and a resident of the City of Chandler, Arizona.

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* Indicates required question

First Name *

Your answer

Middle Name

Your answer

Last Name *

Your answer

Email Address *

Your answer

Mobile Number

Your answer

Residence Street Address *

Your answer

City *

Chandler

Gilbert

Other

Zip Code *

Your answer

Year of Birth *

Your answer

What kind of device will you be using?

iPhone

iPad

Android Phone

Other:

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Language Preference

English

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