LPS STUDENT Anti-Vaping Advocate Sign-Up

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Sign-up here to join the #lexENDSvaping email list and participate in our future events

First Name *

Last Name *

What is your Email Address? *

Have you taken the Surgeon general's quiz on e-cigarette use among youth and young adults? (can be found on the #lexENDSvaping website under "sign-up") *

Yes

Grade level *

elementary school

middle school

Would you like to be an Anti-Vaping Advocate? - By signing up (receiving a t-shirt and/or lawn sign), you agree to join a mailing list and be contacted for future events related to the #lexENDSvaping campaign. *

Yes

Would you like a #lexENDSvaping T-Shirt?

Yes

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