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Harford Robotics Interest List
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Email
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Your email
Parent's first name
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Your answer
Parent's last name
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Your answer
Email address
Your answer
Best phone number (numbers only)
Your answer
Text messages okay for phone number?
*
Your answer
Interested child's first name
*
Your answer
Interested child's last name
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MM
/
DD
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YYYY
Interested child's birthday
Your answer
Second interested child's last name
Your answer
Second interested child's birthday
MM
/
DD
/
YYYY
Third interested child's first name
Your answer
Third interested child's last name
Your answer
Third interested child's birthday
MM
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DD
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YYYY
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