Place your name in the space provided. Make sure you type your last name first and place a comma between your last and first name. (Ex: Jones, Bob) *
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Your mobile phone number *
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Are you.... (Check all that apply)
What are your plans after graduation? *
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Attending College / University
Attending Community College
Going to the Military
Going directly to work
Emergency Contact: If something were to happen to you who should I contact first! Provide a name, number and that person's relationship to you. Example: Carolyn Jackson, 2052315555, Mother *
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Emergency Contact: If something were to happen to you, who should I contact second! Provide a name, number and that person's relationship to you. *
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If your parents want to receive the Senior Class emails, please provide their email address below