East Coast SSDC Ticketing Packet
  • East Coast SSDC Ticketing Packet

  • Legal Guardian and Emergency Contact

  • Demographic Information

    While these items are not required, it helps us to collect demographic data for grant and other reporting.
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        Minor ParticipantStudent under the age of 18.
        $20.00
          
        Adult ParticipantStudent that is 18.
        $20.00
          
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        Total
        $0.00
      • Parent/Guardian's Signature

      • Adult Participant's Signature

      • Fastlane Checkout

        Choose from one of the PayPal options to make your payment.

        Contact Info

        Payment Info

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