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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
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Niger
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Oman
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Vatican City State
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Virgin Islands (U.S.)
Viet Nam
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Western Sahara
Yemen
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Zimbabwe
Student
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Will this person ever be a student of NOVA Athletics Academy?
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 NOVA Athletics Academy?
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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