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Rachel's Challenge Chain Reaction
Tell us your story or testimonial regarding how Rachel's Challenge has impacted you or others.
1.Please indicate if you are a *
Student
Teacher
Principal
Parent
Other
2.If you checked student, what grade are you in?
3.Your name
4.Your address
5.Your e-mail
6.What is the name of your school?
7.How long has Rachel's Challenge been a part of your school program?*
My school just signed up!
Rachel's Challenge is not part of my school program
I don't know
8.Share your Rachel's Challenge story or testimonial here. (2000 words or less)
9.(optional) What is your mobile number?
10.(optional) How old are you?
11.(optional) If you are under 18 years old, does KHOU 11 have permission to contact your parent(s) or legal guardian?*
Yes
No
12.(optional) Please provide either a phone number or e-mail address for your parent(s) or legal guardian for contact purposes.
13.(optional) Does KHOU 11 have permission to contact you and your parent(s) or legal guardian for possible inclusion in a news story? *
Yes
No
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