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Steubenville of the Rockies Wait List 2024
If a spot opens up in our group for Steubenville of the Rockies we will let you know!
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Child's #1 Name (first and last)
*
Your answer
Child's #1 Grade
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Incoming 9th
Incoming 10th
Incoming 11th
Incoming 12th
Graduated 12th
Roommate Request for Child #1
Your answer
Child's #2 Name (first and last)
Your answer
Child's #2 Grade
Incoming 9th
Incoming 10th
Incoming 11th
Incoming 12th
Graduated 12th
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Roommate Request for Child #2
Your answer
Any more children who wish to attend? List them here with their grade levels
Your answer
Mother's Name (First and Last)
Your answer
Mother's Cell Phone
Your answer
Father's Name (First and Last)
Your answer
Father's Cell Phone
Your answer
Would you be willing to volunteer as a driver?
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Yes
No
Are there any severe allergies? Food allergies? Difficulties being away? Medical conditions...etc? Even hesitancy with the faith? Difficulties at home? Anything you think our group leader needs to know.
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
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