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Diocese of Allentown Adult Participation Form
I will keep this on file and if at any time there is a change in your medical/insurance info you will need to complete it again!
* Indicates required question
Email
*
Your email
Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Home Address
*
Your answer
Phone #
*
Your answer
Email
*
Your answer
Adult t-shirt size
*
S
M
L
XL
XXL
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