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* 1. What is your full name?

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* 2. Are you a middle school student or a high school student?

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* 3. What is the address of the home that your wrote your love letter to?

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* 4. What is a good email address to contact you? This could be your school email or your guardian's email.

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* 5. Will you able to attend to awards ceremony on Wednesday, February 18th at 6:00pm? If so, how many people will be in your party?

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* 6. Please upload your essay here:

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