* 1. Please enter your email address here: 

* 2. Please include the name(s) of the student(s) you would like to register.

* 3. Please include the name(s) of the student(s) teacher(s).

* 4. Do you pledge to be screen free (excluding homework assignments) the week of April 30 - May 6, 2018?

* 5. Please list 1 activity you would like to see the Screen Free Committee organize during screen free week (example: meet up at the park, game night, etc.)

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