Activity 4
What is your name?
First Name:
Middle Name:
Last Name:
Please select Day.
Please select the month.
Please select the year.
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Choose your grade
Freshman
Sophomore
Junior
Senior
Are you interested in the following genres?
Listening to music
Playing any type of sports
Going to parties or events
Hanging with friends
Staying indoors or by yourself
None of the above
Any other genres or comments?: