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WAITLIST for FEMALES: Senior Kairos Retreats 2021-2022
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Email
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Student ID Number (if unknown leave blank)
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Last Name
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First Name
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CCHSDONS.COM
Email Address
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What is your t-shirt size?
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Parent/Guardian 1 Full Name
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Parent/Guardian 1 Email Address
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Parent/Guardian 2 Full Name
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Parent/Guardian 2 Email Address
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Student has a Food Allergy / Dietary Restriction
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No
Yes
Student will need to take prescription Medication during the Retreat
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No
Yes
Are you vaccinated for the Covid-19 virus? (Please note, this is NOT REQUIRED and will in NO WAY impact your ability to participate on a retreat)
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Please Place me on the Waitlist for...
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September 15-17, 2021
November 10-12, 2021
February 9-11, 2022
March 23-25, 2022
April 27-29, 2022
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