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Student registration form

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* 1. First Name:

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* 2. Last Name:

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* 3. Grade Level:

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* 4. E-mail:

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

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* 6. Age:

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* 7. What Highschool do you attend?

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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:

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* 10. Please list any language that you speak in addition to English.

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* 11. Lunch will be provided. Will you be having lunch?

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* 12. What are your preferred pronouns?

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