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Life 2022 Sign Up
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Email
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Your email
First and Last Name of Student
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Student Email
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Atendee Phone Number
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Dietary Needs? If So What?
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Age
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Gender
Male
Female
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Shirt Size (Small, Medium, Large, Extra Large)
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Service Project Lunch (Ham, Turkey, Vegetarian, Chicken Salad, Gluten Free Ham, Gluten Free Turkey, Gluten Free Chicken Salad. Just one
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Grade Completed in Spring 2022
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Any Disabilities
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Will attendee be doing the 5K Run. It will cost an extra $40.00
Yes 1
No
Option 3
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I am thrilled your youth will be joining us! Please take time to complete the Life Release Form and Church Waiver.
Option 1
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