Digital Detox Challenge

Student Information

First name

Last name

Student Number (optional)

Current Grade Level

Starting awards: 7th Grade ($1,600) • 8th Grade ($1,300) • 9th Grade ($1,000)

Email

Password

Password confirmation

Cell Phone Number*

Parent/Guardian 1

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Last name

Email (optional)

Cell Phone Number*

Parent/Guardian 2

First name

Last name

Email (optional)

Cell Phone Number*

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