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* 1. 4th Grade Student's Name:

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* 2. What elementary school do you attend?

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* 3. Parent's Name and Email Address:

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* 4. Will you attend the Girls' Mixer on Friday, April 24th?

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* 5. We will be doing some activities to help the girls find things in common with other 4th grade girls. The following questions are only intended to help find common interests among the girls.

From the following choices, what is your favorite sport to play?

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* 6. What is your favorite after-school pastime?

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* 7. What MONTH is your birthday?

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* 8. In school, my favorite subject is:

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* 9. Does your daughter have any food allergies, disabilities or other issues that we should be aware of? If so, please explain in detail.

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