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Interact Membership Form 2022-2023
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* Indicates required question
Email
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Grade
*
9
10
11
12
I understand that becoming an Interact Member will include a $15-20 fee which will be available to pay once school begins.
*
Yes
Yes^2
Did someone refer you to join? If so, please write their name here.
Your answer
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