2017-2018 ESU HSPDP League Registration

2017-2018 ESU HSPDP League Registration

Welcome to the ESU HSPDP 2017-2018 school registration. 

(If you have more than one school to register, please fill out this form and complete payment for each school.) 

Indicates required field (*)

School Name: *
School Address: *	Line 1: * Line 2: * City: * State: * Select one... Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland and Labrador North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon ZIP: *
School Phone Number: *
Coach's Name: *	Salutation: * <none> Mr. Mrs. Ms. Miss Dr. Hon. Prof. Mr. & Mrs. Judge Other salutation First name: * Last name: * Suffix: * <none> Jr. Sr. M.D. Ph.D. Esq. II III Other suffix
Coach's Email: *
Coach's Cell Phone: *
Additional Coach's Name: *	Salutation: * <none> Mr. Mrs. Ms. Miss Dr. Hon. Prof. Mr. & Mrs. Judge Other salutation First name: * Last name: * Suffix: * <none> Jr. Sr. M.D. Ph.D. Esq. II III Other suffix
Additional Coach's Email: *
Additional Coach's Cell Phone: *
If you are filling this form out on behalf of a school, but are not the coach, please provide us with your name and email. If you are the school's coach, please select "I am the coach".
Additional Information: *	Select one... I am the coach. I am not the coach. Please provide us with your name and email.
2017-2018 ESU HSPDP Team Registration
2017-2018 ESU HSPDP Team Registration *	If attending, please select the number of Registrations required: There is a 1 Registration limit. 0 1 School Registrations @ $295 each