What is your first name?
What is your last name?
What is your birthdate?
Please choose your grade.
Please choose your school.
Kennedy Road Middle School
What is your Student ID Number?
Please enter your Student ID Number again.
Please choose your gender.
Prefer not to say
Choose the race that best describes you.
Asian or Pacific Islander
Black, not Hispanic
American Indian or Alaskan Native
White, not Hispanic
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