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2. 
4. Notice
   Do not include any sensitive information on this form or (if applicable) files uploaded to this form. Sensitive information includes, but is not limited to, social security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, or passwords.
6. Name of Student:*
7. 
9. Child's Grade*

   1. Preschool
   2. Kindergarten
   3. 1st Grade
   4. 2nd Grade
   5. 3rd Grade

   1. 4th Grade
   2. 5th Grade
   3. 6th Grade
   4. 7th Grade
   5. 8th Grade

   1. 9th Grade
   2. 10th Grade
   3. 11th Grade
   4. 12th Grade
11. School*
    -- Select One --Benton HarborBerrien SpringsBrandywineBridgmanBuchananColomaCountrysideEau ClaireLakeshoreNew BuffaloNilesRiver School / SodusRiver ValleyRiverside / HagarSt. JosephWatervliet

    Select School
13. Other School Name
15. Teacher's Name:*
17. School Resource Officer (Optional)
19. Explain why you think this child should be honored*
21. Your Name:*
23. Your Phone Number*
24. Your Email:*
26. 
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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