Enlightened Challenge Registration

Please note that all information collected within the form is confidential and will only be retained during Enlightened Challenge. All personal information will be destroyed/removed from the servers at the conclusion of the Challenge.

STUDENTS: Fill out the top student registration form
Parents Friends and Family: Fill out the bottom Friends and Family Form

Student Registration Form

Student Name *

First

Middle

Last

As it appears on Driver’s License or other form of official ID

Phone *

Personal Email *

Date of Birth *

Social Security Number (SSN) *

if under 18 years old enter N/A

NM Driver License – Real ID Required if 18+ *

if under 18 years old enter N/A

Team Name *

School or Organization *

Advisor/Chaperone Name *

First

Middle

Last

As it appears on Driver’s License or other form of official ID

Advisor/Chaperone Email *

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Drag & Drop Files, Choose Files to Upload

Click or drag a file to this area to upload. Only .doc, .docx, and .pdf files will be accepted.

Additional Comments

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Friends and Family Form

Parent, Friend, or Family Name *

First

Middle

Last

As it appears on Driver’s License or other form of official ID

Participant / Student Name *

First

Middle

Last

As it appears on Driver’s License or other form of official ID

Friend & Family Email Address *

Date of Birth *

Country of Citizenship *

Social Security Number (SSN) *

Driver's License Number – Real ID Required *

Please provide if you are intending to drive on base.

Driver's License Issuing State *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Additional Comments

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