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Level Up: Summer Fun Nights
JUNE 12th-15th - 6:00-8:00 PM
Entering 9th-12th Grade in the Fall
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PARENT/GUARDIAN
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FIRST AND LAST NAME
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EMAIL
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PHONE #
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ADDRESS
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Address, City, State, Zip
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Student 1 First and Last Name
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Current Grade Entering Fall of 2023
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7th Grade
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List any allergies or medical concerns we need to be aware of.
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Do you have a church home?
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