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Student Info
First Name *
First name is required.
Last Name *
Last name is required.
Phone Number *
Format: XXX-XXX-XXXX
Email Address *
Valid email is required.
Password *
Password is required.
Password must be at least 6 characters.
Confirm Password *
Passwords do not match.
Show Passwords
Are you 18 years of age or older? *
Yes
No
Please confirm whether you are 18 or older.
Select Your School
-- Select a School --
BCEMS
GC
KTC
OSU
PTC
SOE
Warior
Please select a school.
Submit Ride Along
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