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Email address *
First Name *
Last Name *
Expected Year of Graduation from High School *
State *
City/town of residence (if you are located in Pennsylvania, please enter your county) *
Zipcode *
Home Address
Phone Number *
High School *
Is there a High School Democrats chapter at your school? *
Would you be interested in leading a High School Democrats chapter at your high school? (to officially register your chapter, please register here: http://bit.ly/hsdachapterreg) *
Do you currently have any specific title within the organization? If so, please be specific. (ex: "Vice-Chair of Central High School Local Chapter" not just "Vice-Chair") If not, PLEASE LEAVE BLANK.
Why are you joining the High School Democrats of America?
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