Student registration form

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1. First Name: (Required.)

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2. Last Name: (Required.)

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3. Grade Level: (Required.)

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4. E-mail: (Required.)

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5. Date of Birth (MM/DD/YYYY): (Required.)

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6. Age: (Required.)

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7. What Highschool do you attend? (Required.)

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8. Are you in a career pathway at your high school? If yes, please include the name of the pathway. 

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9. Race/Ethnicity: (Required.)

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10. Please list any language that you speak in addition to English. (Required.)

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11. Lunch will be provided. Will you be having lunch? (Required.)

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12. What are your preferred pronouns?

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