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WAITLIST FOR FEMALES: Junior Retreats 2021-2022
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Email
*
Your email
Student ID Number (if unknown leave blank)
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
CCHSDONS.COM
Email Address
*
Your answer
Parent/Guardian Full Name
*
Your answer
Parent/Guardian Email
*
Your answer
Student has a Food Allergy / Dietary Restriction
*
No
Yes
Student will need to take prescription Medication during the Retreat
*
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 in this retreat)
*
Yes
No
I'd rather not say at this time.
Please Place me on the Wait List for
*
November 17-19, 2021
January 12-14, 2022
April 6-8, 2022
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