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* 1. First and Last Name

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* 2. E-mail Address

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* 3. Phone Number

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* 4. What is your zipcode?

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* 5. What grade level are you in and what high school do you attend?

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* 6. Please select one of the following.

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* 7. Please list all of the Thrive Clermont events you have participated in previously.

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* 8. Please list the planned extra curricular activities will you be involved in August of 2020 - January of 2021?

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* 9. By checking the "Yes" box, I agree to attend the virtual TAC Kick Off Retreat on August 21, 2020 from 5:00 - 7:00 p.m.

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* 10. Please list any skills, talents, or strengths that you feel would benefit our organization (optional). 

0 of 10 answered
 

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