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Individual Registration

Please enter information in the form below to process registration for Upward Challenge - Game Changer 2019

Youth Registration Information


These fields are related to the Youth who is registering.
Additional information on how to reach parent(s)/guardian(s) are below.

Parent's Information


We must to be able to communicate with the parent(s)/guardian(s).
Please provide the following information for your point of contact.
If you have two parents, please provide information for both.
This information will be used for contacting parents in case of emergencies, and also to provide parental information regarding your Upward Challenge experience.

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Group Information

Payment Information

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