Your Information

Your Name (required)

Your Age (required)

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What school do you attend?

What are Your interest?
TechnologySportsMusicFashionFilm

Instagram User Name

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General Information

What Is Your Favorite Fast Food?

What Toothpaste Do You Use?

What is Your Favorite Hair Care Product?

What is Your Favorite Cereal?

What Is Your Favorite Soda Pop?

Do You Prefer Mac or PC?
---MacPC

What Is Your Favorite App?

AUTO (Optional -16 Years Or Older)

Are You Able to Drive Yet?
---YesNo

What is Your Favorite Car?
Model: Make:

What Company Is Your Debit Card With?

Do You Have a Savings Account?
---YesNo

Are you interested in the NHS FREE Savings Account for Black History Month 2022?
---YesNo