High School Student Registration

 Business Challenge 2010

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Required Field *

This is my  year attending Business Challenge.


Gender:   

*First Name:     

 Middle Name:  

*Last Name:   

*Address:   

*City:   

 *State:   

*Zip:   

*Home County:   


* Are you interested in busing? 

Location:   


*Date Of Birth:     [None] Select a Date Delete the Date  

*Email:   

*Home Phone:   

 Work Phone:   

Cell Phone:   

Name Of School:   

Grade In School:   


*Shirt Size:   

Local Newspaper:  


Parent 1/Guardian 1 Information:

Title:   

*First Name:   

 *Last Name:   

*Work Number:   

Cell Number:   

Parent 2/ Guardian 2 Information:

Title:  

First Name:   

 Last Name:   

Work Number:   

Cell Number:   


Where did you hear about Business Challenge?   

 

 Other/ Name of past participant:  

School Activities involved in:

   

Community Activities:

   

Business/Work Experiences:

   

Hobbies/Interests:

   

Plans after Graduation from High School (further education, service and/or job):

   

Please type a short essay about why you want to attend Business Challenge:

   

 


Choose Payment Method:

Financial assistance is available. If you have difficulties with the fee or transportation, please contact Business Challenge office.