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Registration 6 Step Before The Lord
2022-2023
Registration Fee $40
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Email
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Your email
Parent/Guardian Name:
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Your answer
Cell Number
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Street Address:
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Apt#
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City
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State
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Zip Code
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Students Full Name:
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Childs D/O/B
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DD
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YYYY
Childs Shirt size
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S
M
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How did you hear about 6 Step Before the Lord?
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Emergency Contact Name
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Emergency Contact Phone Number:
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Medical Insurance:
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Any Medical Issues
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Any Allergies
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Which session would you like to attend?
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Saturdays Breaker 1 Beginner 10am-11am
Saturdays Breaker 2 Intermediate ages 6 and up @ 11:00am
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