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Congratulations on being selected as Super Scholar recipient. Please complete the entire form and click the submit button. Please note that this is not an RSVP to the event. The information will help us to create an introduction for you at our banquet.
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Student Information

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Parent or Guardian 2


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Dietary Restrictions

Are there any dietary restrictions of which we should be aware?

Student * Dietary restrictions
Guest 1 * Dietary restrictions
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A Symbol of STRENGTH for More Than a Century