Student T-shirt Size (needed to ensure student receives a t-shirt) *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Optional: Parent/Guardian #2 First Name
Your answer
Optional: Parent/Guardian #2 Last Name
Your answer
Has the Parent/Guardian signed a photo/video release with LPS?
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How does this student act as a leader, inspire other students, is active in their school community, or takes what they learn and applies it to their lives? *
Your answer
Your Name (if different than the Principal)
Your answer
Your Email (if different than the Principal)
Your answer
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