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HEALTH Media Club Interest Form
If you're interested in checking out the Health Media Club please fill out the survey below!
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* Indicates required question
First and last Name (and preferred name if applicable)
*
Your answer
School & meeting time
*
Hood River Middle School (Tuesdays at lunch)
Wy'East Middle School (Excel after school)
Hood River Valley High School (1st/3rd Wednesday lunch; 4th Wed after school)
Grade
*
6th
7th
8th
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
Email
*
Your answer
Phone Number we can contact you at
*
Your answer
Can you receive Text Messages?
*
Yes
No
Do you have any questions for the Health Media Club?
Your answer
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