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Please note: all items marked with a * are required.
Username: *
Password: *
Confirm Password: *
First Name: *
Middle Init:
Last Name: *
Title:
Email: *
Web Site:
Address 1: *
Address 2:
Address 3:
City: *
State: *
Zip: *
Country: *
Phone:
Cell Phone:
Fax:

Chapter Coordinators should only provide information for their Chapter Competition below.
State Competition information should only be provided by the State Coordinator.
Competition Information:
Chapter:
My Chapter Competition Will Be Held:
Chapter Competition Date:
Facility:
Address:
City:
State:
Zip:
My State Competition Will Be Held:
State Competition Date:
Facility:
Address:
City:
State:
Zip:
Please enter the number you see in the image: *

      

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