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2021 MLK Health Fair Pre-registration
First name *
Last name *
Race/Ethnicity *
Grade *
Parent/Guardian's name (Elementary students)
Parent/Guardian's email address (Elementary students)
Homeroom/Science teacher's name
Email required for raffle entry. E-GIFT CARDS WILL BE EMAILED TO WINNERS. Elementary school students: enter your parent/guardian's email address. Middle/high school students: enter your personal school email. Please ensure the address is correct. *
Why did you choose to attend this fair? (Please select all that apply). *
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