Signal Vine
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Student's First and last name *
Student's High School *
Student's Mobile Phone Number *
Student's Email address *
Student's Date of Birth *
MM
/
DD
/
YYYY
Are you 18 or over? *
If no, does your parent/ guardian give permission to sign you up to receive text messages? *
Parent/Guardian's First/Last Name and phone number. If 18 or older, put N/A. *
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