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After The Bell Student Info (MJHS)
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Full Name
*
Your answer
Grade
*
6th
7th
8th
Birth Date
*
MM
/
DD
/
YYYY
Student Email
*
Your answer
Address
*
Your answer
Student Phone number
Your answer
Parents/Guardians
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Are you in any extracurricular activities? If so, please list them:
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