Student Information
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Student First Name *
Student Last Name *
What grade are you in? *
Birthday *
MM
/
DD
Year you were born? *
Street Address *
City *
Mailing Address (if different from Street Address)
Student Cell Phone# (to receive cancellation/event notices)
Your Email Address (not school email)
Preferred way to contact you? *
Required
What school do you attend? *
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