New Member Registration Form
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First and Last Name *
Preferred name?
Address (include city, state & zip) *
PSAT score?
Guardian name(s)
Guardian phone number(s)
Guardian email(s)
Student Phone Number *
Student Email Address *
Free, reduced or full price lunch? *
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What are your preferred pronouns?
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Will you be the first in your immediate family(mom/dad) to graduate from college? *
If you answered no to the question above, please write down where your parent(s) graduated from college?
Unisex Shirt size
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Favorite Restaurant?
Students Instagram, Facebook and Snapchat handle?
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