PERSONAL INFORMATION
STUDENT NAME:
*
First Name
Last Name
SCHOOL GRADE IN 2023-2024
*
Please Select
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
STUDENT EMAIL:
*
example@example.com
TELEPHONE:
*
Please enter a valid phone number.
ADDRESS:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT:
*
Please Select
Father
Mother
PARENT'S NAME:
*
First Name
Last Name
PARENT'S EMAIL
*
example@example.com
PARENT:
Please Select
Father
Mother
PARENT'S NAME
First Name
Last Name
PARNT'S EMAIL
example@example.com
EDUCATION INFORMATION
HIGH SCHOOL NAME:
*
LOCATION (CITY & STATE):
*
TEAM INFORMATION
Students must form a local team of three students and choose a team captain before submitting.
TEAM NAME:
*
TEAM CAPTAIN:
*
TEAM MEMBER #2
TEAM MEMBER #3
PAYMENT
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REGISTRATION FEE
Includes the "Hellenika" Study Book
$
35.00
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
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the form.
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