ABOUT YOU:

Please enter your name:

Please enter the name of the school where you are teaching this year:

Mailing Address of School:

City and Zip of School:

Which conference is your high school in?
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Please enter your home mailing address, including zip code:

Please enter your home telephone number including area code:

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Please enter your e-mail address at work/school (THIS MUST BE FILLED IN OR YOU CANNOT SUBMIT THIS FORM):

Please enter your e-mail address at home:

List Topic Areas and/or Potential Wording of Resolutions

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Questions or comments:

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