LWSC 2024 Regional Interest Form 
Please fill out the information below to participate in your teams' respected Regional Qualifier
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Email  *
Team Name  *
Location (City, State, Zip Code)
*
Regional Qualifier Interested In? (Pease pick the qualifier your team resides in)
Clear selection
Main Point of Contact Name
*
Main Point of Contact Email
*
Main Point of Contact Phone Number
*
Submit
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