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Application for 3R's

* Indicates required field

Name *

First

Last

School Email *

Homeroom (# or Teacher Last Name) *

Student ID Number *

What GRADE are you in? *

Team Color *

You EAT LUNCH during WHICH HALF? *

You have 3R's at which time of day? *

What do you like to do during 3R's in the library? *

I am part of this library activity: *

I have been in this library activity since when? *

If in an activity, describe any project you've done: *

Choose one of the following: *

I agree to remain quiet and to either be doing school work or helping Mr. E while in the library I disagree with this completely!

Please check if you are interested in: *

Film Making Video Game Development Music Performance Math and / or Business

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