2023 JA Titan Competition
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School District
*
School Name
*
County
*
Address for Invoice ($30 per Registered Team)
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Name of whom should receive the invoice
*
Title
First Name
Last Name
E-mail to whom should receive the invoice
*
Teacher Name
*
Title
First Name
Last Name
Teacher E-mail
*
Teacher Phone Number
*
-
Area Code
Phone Number
Student Information
*
Number of Students Attending Event
9th Grade
10th Grade
11th Grade
12th Grade
Student Information
*
First and Last Initial of Students Attending Event
9th Grade
10th Grade
11th Grade
12th Grade
Total Number of Teams Attending
*
Teams consist of 2-3 students
Additional Comments
Signature
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