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Appendix(G(((((((((((((((Illinois'PTA'District/Region ''' ''Teacher/Homeroom (National(PTA(Reflections (Program(Student(Entry(Form((2013B2014(Theme:(Believe, (Dream, (Inspire(This'form'can'be'used'by'students'entering'a'Local'PTA'Reflections'program'or'for'student'winners'to'gather'necessary'information'

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