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2019 - 2020 Uplift Hampton MS Information
Uplift Lee staff information
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Last name
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Your answer
First Name (Please put the name you prefer to be called.)
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Your answer
Home Address:
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Your answer
Phone:
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Your answer
Personal Email:
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Your answer
Name of emergency contact
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Your answer
Phone number of Emergency Contact
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Your answer
Do you celebrate your birthday? Or allow others to celebrate your birthday?
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Yes
No
When is your birthday? If you do not celebrate your birthday, please put today's date. If you do celebrate your birthday, you do not need to put the year and can leave it as 2018.)
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MM
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DD
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YYYY
Department
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Your answer
Grade Level
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6th
7th
8th
Other
T-shirt Size (Unisex Sizes)
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XS
S
M
L
XL
XXL
Other
Other:
Polo Sizes (Unisex Sizes)
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XS
S
M
L
XL
XXL
XXXL
Other
Food Restrictions (if any):
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Your answer
Favorite Snack:
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Your answer
Favorite Drink (non-alcoholic):
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Your answer
Favorite Treat
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Your answer
What is your favorite color?
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Your answer
Favorite Song
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Your answer
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