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* 1. What is your name?

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* 2. What is the best email address to contact you? (We cannot email to a school email address.)

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* 3. Are you a member of one of the following?

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* 4. What grade are you in?

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* 5. What is your area of interest? (Check all that apply.)

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* 6. Is there anything else you would like us to know?

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