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* 1. Please provide the following parent/guardian information
a) Name
b) Email
c) Phone

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* 2. Preferred method of contact:

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* 3. Please indicate which form of social media you would prefer for Senior Information:

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* 4. Please enter the following information about your senior student:
a) Name
b) Email
c) Phone
d) T-Shirt Size

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* 5. Preferred method of contact for your senior student:

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* 6. What events would your senior like to attend (mark all that apply)?

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* 7. Does your senior have any allergies to food, medicine, insect, or environmental that we need to be aware of when planning events for the seniors?  Does your senior have any food restrictions?  If yes, please list.

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* 8. Any senior interests that can be utilized for events (DJing, photography, musical, artistic, etc.)? Please list.

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* 9. Please mark all events which you are willing to be a volunteer:

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* 10. In the box below, please answer the following:
a) Would you be willing to host or sponsor one of the senior events (bonfire, etc)?  If yes, which one?
b)  Do you have a business that would donate an item or gift card to give away at Project Graduation (Lock In at CPA the night of graduation)? If yes, describe:
c) Would you be willing to donate/contribute to the Senior event funds scholarship for students identified (by Dr. Shaw) with financial hardships?  If yes, how much?

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