2024 Summer Trip Registration Form
June 17th-22nd
Register & Pay by April 7th = $200 After April 7th = $250
Please fill out the form below to register and pay online at baxleycog.com/give
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Student's Name *
Date of Birth *
MM
/
DD
/
YYYY
Student's Phone Number
Student's Shirt Size *
Parent/Guardian *
Phone Number *
I understand that I will have to pay $200 before April 7th in order to save my student's spot and lock in the early price. *
Required
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