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22-23 Morton Young Life Club Card
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First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Morton
Other:
Your Email
Your answer
Your Cell #
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Year that you will graduate
*
2023
2024
2025
2026
School
*
Morton High School
Other
Parent First Name (who you live with)
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Your answer
Parent Last Name
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Your answer
Parent Phone
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Parent Email
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