HOSA Challenge Registration Form

HOSA Challenge Registration Form

Complete the form below and submit to register your chapter in the 2024 HOSA Challenge.

Chapter Details

HOSA Chapters that include multiple schools may request a toolkit for each school where students will be implementing the challenge. I.e. Copper Country HOSA includes six high schools, so they request six toolkits.
As part of the HOSA Challenge, your chapter can earn activity points by creating no-sew fleece tie comfort blankets for new donor families. Up to 10 free kits will be provided upon request.
Mailing address(مطلوب)
Please provide a physical mailing address where we can send your toolkit(s) and comfort blanket kits (if requested).
If your chapter has a social media account(s) please provide the handle below.

Chapter Contact Details

Advisor name(مطلوب)
Advisor email(مطلوب)
May we text you at the number listed above?(مطلوب)
Student contact name(مطلوب)
Student contact email(مطلوب)
May we text the student contact at the number listed above?(مطلوب)
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