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* 1. Student First Name

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* 2. Student Last Name

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* 3. Student Email Address

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* 4. Student School Name

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* 5. Grade Level

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* 6. Parent First Name

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* 7. Parent Last Name

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* 8. Parent Phone Number

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* 9. Parent Email Address

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* 10. Mailing Address

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* 11. City

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* 12. State

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* 13. Zip

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* 14. Submission Genre

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* 15. Submission Title

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* 16. If selected as a winner, I give my permission to Peer Power to publish my name and my submitted piece.

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* 17. Upload your submission here  Only PNG, JPG, JPEG, GIF files are supported.

PNG, JPG, JPEG, GIF file types only.
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