Altitude Registration
Time:          Every Sunday @6:00 PM
Location:    Bethel Alliance Church
Address:     251 Walkers Mills Rd, Bethel, ME, 04217
Phone:       (207) 824-2289
Email:         altitude103@gmail.com
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Email *
Student's First Name *
Student's Last Name *
Student's Birthday *
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DD
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YYYY
Student's Grade *
Student's Favorite Candy?
Dietary restrictions *
Parent/Gaurdian name (first and last) *
Parent/Gaurdian phone number *
Is the emergency contact the same as parent/guardian? *
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