(10/25-10/27) 2019 Rock Springs Conference Sign-up Form

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(10/25-10/27) 2019 Rock Springs Conference Sign-up Form

NB: Each Young Person, YP worker, Parent and Child must fill out a separate form

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Locality *

Your answer

Gender *

Brother

Sister

Age *

Your answer

Grade *

Choose

6th

7th

8th

9th

10th

11th

12th

College

Not Applicable

Special Requests (ie. food allergies, hospitality arrangement for new ones, etc.) *

Your answer

Camper Type *

Young Person

Young Person Worker

Other (ie. parent, small children, etc.)

Submit

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