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2011-12 Global Awareness Online Registration
Please complete all of the questions below. You are not officially signed up for the Global Awareness Club until you have registered here. If you have questions, you may email Mr. Anson at
janson@smhsbr.org
.
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* Indicates required question
FIRST NAME
*
Your answer
LAST NAME
*
Your answer
BIRTHDAY
Your answer
STUDENT E-MAIL
*
Your answer
-
*
Male
Female
STUDENT CELL #
Your answer
CELL PROVIDER
(AT&T, Sprint, etc)
Your answer
Can you receive school related text messages on your cell phone?
*
yes
no
T-Shirt Size
*
S
M
L
XL
XXL
#1 PARENT NAME AND CELL NUMBER
Your answer
#2 PARENT NAME AND CELL NUMBER
Your answer
CURRENT GRADE LEVEL
9th
10th
11th
12th
Clear selection
BEST PARENT EMAIL
*
most frequently checked
Your answer
What questions do you have about the Global Awareness Club or our events this year?
Your answer
LAST QUESTION AND YOUR FINAL ANSWER:
What does the Latin root of the word Global mean?
*
(choose the best answer)
Spherical
Comprehensive
Planetary
Mr. Hallford
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