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* 1. What's your full name?

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* 2. What's your (or your parent's) email address?

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* 3. What Yeshiva are you in?

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* 4. What grade are you in?

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* 5. How are you raising money? Choose all the apply.

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* 6. What's the best phone number to contact you?

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* 7. The MJYA Foundation will be giving sponsored prizes out to those that raise specific amounts as shown on the website. If we are unable to obtain the prize requested for any reason, we will give the Amazon Gift Card for that amount. If you are collecting money with siblings, you can only request prizes based on the amount raised, not per person.  Do you understand?

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* 8. Have you ever fundraised for the MJYA Foundation before?

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