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Student Biography

Please complete and return by 3/29/02. We require a mailed (not faxed) copy of this form.

Student Name ______________________________________________________________________ 
               First                            Last

Address ___________________________________________________________________________


City ____________________________________ State _____________ ZIP _________________


Home Phone # (___) ____-______ Grade (2001-02) __________ Birth Date ______________


Hobbies ___________________________________________________________________________


Clubs/Organizations _______________________________________________________________


School Name ________________________________________ Coach ________________________
                                                             First        Last
                                                             
What name is your school commonly known as? _______________________________________


Address ___________________________________________________________________________


City ____________________________________ State _____________ ZIP _________________


LOCAL MEDIA


Newspapers ________________________________________________________________________


Radio Stations ____________________________________________________________________


TV Stations _______________________________________________________________________


                                             ______________________________________
                                               SIGNATURE               DATE


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For more information about SCRABBLE® or the NSA, or to comment on or correct the contents of this page, please e-mail: info@scrabble-assoc.com. 
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