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Miss Vernon Hills 2024
Age 16-21
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* Indicates required question
Email
*
Your email
Name
*
First and Last
Your answer
Address - MUST LIVE IN VERNON HILLS (60061 Zip Code)
*
Street Address, City, State, Zip Code
Your answer
Phone Number
*
Your answer
Parent's Name
*
First and Last
Your answer
Parent Email
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age on June 8, 2024
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16
17
18
19
20
21
School attending for 2024-2025 School Year
*
Your answer
Grade for 2024-2025 School Year
*
Your answer
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