Healthy Choices Spring 2021
Student
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Email address
*
Your email
Student First & Last Name
*
Your answer
Student Phone
Your answer
Student Grade
*
6th
7th
8th
Other:
Which days do you attend school IN- PERSON?
*
Wednesday
Monday
Tuesday
Thursday
Friday
None
Other:
Required
Have you taken Healthy Choices before?
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Yes
No
Parent Guardian Name
*
Your answer
Parent Guardian Email
Your answer
How did you hear about Healthy Choices?
Your answer
What questions do you have about Healthy Choices?
Your answer
Thank you for registering for Healthy Choices Fall 2020! We will contact you via email shortly.
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