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*1.

Question - Required - School Name

2.

Question - Not Required - Club Name (if applicable)

*3.

Question - Required - School Street Address

*4.

Question - Required - School City

5.

Question - Not Required - School Country

*6.

Question - Required - School Type:

*7.

Question - Required - Advisor/Moderator/Teacher Name

*8.

Question - Required - Advisor/Moderator/Teacher Email

*9.

Question - Required - Advisor/Moderator/Teacher Phone Number

*10.

Question - Required - Primary Student Contact Name

*11.

Question - Required - Primary Student Contact Email

*12.

Question - Required - Primary Student Contact Phone Number

*13.

Question - Required - Primary Student Contact Graduation Year (ex: 2020)

*14.

Question - Required - Secondary Student Contact Name

*15.

Question - Required - Secondary Student Contact Email

*16.

Question - Required - Secondary Student Contact Phone Number

*17.

Question - Required - Secondary Student Contact Graduation Year (ex: 2020)

18.

Question - Not Required - School Website

19.

Question - Not Required - Club Instagram Page

20.

Question - Not Required - Club Facebook Page

21.

Question - Not Required - Other Club Social Media Handle(s)

*22.

Question - Required - In what month does your school year start?

*23.

Question - Required - Are you registering a new club?

*24.

Question - Required - Approximate Number of Club Members

Club Registration International 2019 - Student Programs