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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your phone number?

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* 4. What is your email?

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* 5. What time of day would you prefer a class?

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* 6. Are you a teacher interested in Earthwatch at School?

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* 7. Are you a teen interested in a high school level class?

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