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* 1. Email Address (we may reach out for feedback)

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* 2. Location (by country)

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* 3. If USA, please provide your zip code.

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* 4. What is your role?

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* 5. How many students or youth will use these lessons?
(If you do not work directly with students, please enter 0. If you are the only young person who will use this lesson, please enter 1. If you are unsure of the total, please estimate.)

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* 6. Would you like to be on our email list?

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