The Philly Project! All Youth Trip: July17th-July23rd
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Name of Student going *
Name of additional Sibling
Name of additional Sibling
Parent Email *
Parent Phone Number
Dietary restrictions *
I have filled out Crossroads Student Code of Conduct Form and agree to its terms: Click here to fill out form: https://goo.gl/forms/Dv73l9PhQTakWAiG3
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I have filled out the Philadephia Project Form Here: https://form.jotform.com/70255484186158
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I agree to pay the follow deposits on the dates below 3/1 $50 Non-refundable deposit                                        4/5 $50 Payment                                                                      6/15 $100 Payment
I agree to pay the full balance of $450 by July 1
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