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ReCreate STEAM Team Application
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Email
*
Your email
Parent/Guardian Name
*
Your answer
Parent/ Guardian Phone
*
Your answer
Parent/ Guardian Email
*
Your answer
Optional - Parent/ Guardian 2 (Name/ Phone/ Email)
Your answer
Student First name:
*
Your answer
Last name:
*
Your answer
Year in school:
*
Freshman (9th grade)
Sophomore (10th grade)
Junior (11th grade)
Senior (12th grade)
Phone Number (ex: (555) 555-5555)
*
Your answer
Street Address
*
Your answer
City/ State (ex: Roseville, CA)
*
Your answer
Zip Code
*
Your answer
Check the box if we can contact you via email or text:
*
Email
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Do you speak any other languages? If yes, what is it?
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