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Parents
Please Note!
The account holder, an individual of legally binding age, must complete this registration.
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Email
Must be a valid email address.
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Password
Passwords must be a minimum of 12 characters and contain at least one of each: number, uppercase, lowercase, and special character.
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Parent/Guardian (account holder)
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First Name
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Last Name
Middle Name
Suffix
Sr, I, II
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Birthday
MM/DD/YYYY
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Gender
Female
Male
Unspecified
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How is this family member related to the account?
Mother
Father
Guardian
Parent
Child
Spouse
Partner
Grandmother
Grandfather
Other
Phone
Type
Mobile
Home
Work
Other
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Phone
555-555-5555 x555
Address
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Street 1
Street 2
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City
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State
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Postal Code
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Country
United States
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Afghanistan
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Algeria
Aland Islands
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France
France, Metropolitan
French Guiana
French Polynesia
Gabon
Gambia
Germany
Ghana
Gibraltar
Great Britain (UK)
Grenada
Georgia
Greece
Greenland
Guinea
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S. Georgia and S. Sandwich Islands
Guatemala
Guam
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Guyana
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Iraq
Iran
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Jordan
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Korea (South)
Kuwait
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Laos
Lebanon
Saint Lucia
Liechtenstein
Sri Lanka
Liberia
Lesotho
Lithuania
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Latvia
Libya
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Macao
Madagascar
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Mali
Malawi
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Mauritius
Mayotte
Malta
Morocco
Monaco
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Montserrat
Maldives
Mozambique
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New Caledonia
Niger
Norfolk Island
Nigeria
Nicaragua
Netherlands
Norway
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Nauru
Niue
New Zealand (Aotearoa)
Oman
Panama
Peru
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Philippines
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Serbia and Montenegro
Pitcairn
Puerto Rico
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Portugal
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Qatar
Reunion
Romania
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Uruguay
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Vatican City State
Venezuela
Virgin Islands (British)
Virgin Islands (U.S.)
Viet Nam
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Student
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Will this person ever be a student of Alpha Mode Allstars?
Yes
No
Additional Info
Other Parent/Guardian
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Would you like to add another parent/guardian?
Yes
No
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First Name
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Last Name
Middle Name
Suffix
Sr, I, II
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Birthday
MM/DD/YYYY
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Gender
Female
Male
Unspecified
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How is this family member related to the account?
Mother
Father
Guardian
Parent
Child
Spouse
Partner
Grandmother
Grandfather
Other
Contact Info
Type
Mobile
Home
Work
Other
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Phone
555-555-5555 x555
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Email
Authorization
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Receive Account Notifications?
Yes
No
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Student Chauffeur?
Yes
No
Is this person allowed to transport the members associated with this account?
Student
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Will this person ever be a student of Alpha Mode Allstars?
Yes
No
Additional Info
Additional Emergency Contacts
remove_circle
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First Name
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Last Name
Contact Info
Type
Mobile
Home
Work
Other
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Phone
555-555-5555 x555
Authorization
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Student Chauffeur?
Yes
No
Is this person allowed to transport the members associated with this account?
remove_circle
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First Name
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Last Name
Contact Info
Type
Mobile
Home
Work
Other
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Phone
555-555-5555 x555
Authorization
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Student Chauffeur?
Yes
No
Is this person allowed to transport the members associated with this account?
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Add emergency contact
Add another emergency contact
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