Jag-A-Thon: Spin the Wheel Tuesday, 9/22
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Parent Last Name

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Parent First Name

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Child's Last Name

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Child's First Name

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Child's Grade

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You will need to fill out a form for each child.
Please select below how many spins you would like your child to receive
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Please check below to acknowledge that your FACTS Account will be chrged the specified amount above. *
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