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2. 
4. Student First Name*
5. Student Last Name*
7. Address Number
8. Street Address*
9. Parent Guardian Name*
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. School you will attend in September 2019*
19. Gender*

    1. Male
    2. Female
20. T-Shirt Size*
    -- Select One --YOUTH - SMALLYOUTH - MEDYOUTH - LARGEYOUTH - XLADULT - MEDADULT - LARGEADULT - XLADULT - 2XL
21. Are you enrolled in a Say YES Summer Camp?

    1. Yes
    2. No
23. Grade you will enter in September 2019*

    1. K
    2. 1st
    3. 2nd
    4. 3rd

    1. 4th
    2. 5th
    3. 6th

    1. 7th
    2. 8th
    3. 9th

    1. 10th
    2. 11th
    3. 12th
25. 
    
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27. Submit

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