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Mobile Kappa League Interest Form
*Must be a male student in 9th through 11th grade and maintain at least a 2.5 GPA.
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Applicant Full Name
*
Your answer
Date of Birth
*
MM
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DD
/
YYYY
Age
*
Your answer
Application Phone Number: (Home/Cell)
*
Your answer
Address (Include City, State, Zip Code):
*
Your answer
High School Name
*
Your answer
Grade
*
Your answer
Parent(s) Guardian(s) Telphone:
*
Your answer
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