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Lead/Defend Youth Trip
March 2nd at 7:30 am - March 3rd at 11:30 am
Cost: $35 (if signed up and paid by February 14th) - $45 after that date
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* Indicates required question
Student First Name:
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Your answer
Student Last Name:
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Your answer
Student Phone Number
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Your answer
Student Email they will have access to on the date of the event (if none, please put ozarkfbc@gmail.com)
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Your answer
Student Grade
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7th
8th
9th
10th
11th
12th
Adult Leader
Parent First Name
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Your answer
Parent Last Name
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Your answer
Parent Phone Number
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Your answer
Address
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Your answer
City
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Your answer
Emergency Contact Name (different than above)
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Your answer
Emergency Contact Phone Number (different than above)
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Your answer
Allergies
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Your answer
I understand that my student will not be officially signed up until they have paid for this event.
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Yes
I understand I need to sign a medical waiver.
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Yes
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