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Family Adventure Days at SPJ
registration for event
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Parents First Name
Your answer
Parents Last Name
Your answer
email address (only to be used if there is a change)
Your answer
emergency contact
Your answer
emergency contact phone number
Your answer
number of children attending
Choose
1
2
3
4
5
6
7
8
How many adults
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1
2
3
4
5
6
Nights attending
Monday 7/11 6 to 8 pm
Tuesday 7/12 6 to 8 pm
Wednesday 7/13 6 to 8 pm ***optional later evening for movie
Please print and bring the medical release form with you for each child
Thank you for helping us prepare for your family
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