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Jerusalem Farm - 2019
Please fill out the information for the mission trip.
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Email
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First Name:
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Your answer
Last Name:
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Student Cell Phone:
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Your answer
Parent Cell Phone Number:
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Your answer
Student Email Address:
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Your answer
Parent Email Address:
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Your answer
Food Allergies:
Your answer
Are you (parent) interested in being a chaperone?
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Name of Parent interested:
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