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Life Skills Registration Form
Event Timing: January 16th from 5pm - 6pm
Event Address: 620 Lincoln Avenue, Winnetka, IL. 60093
Contact us at (847)-446-0443 or info@winnetkayo.org
Name *
Email *
Phone Number *
Date of Birth
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/
DD
/
YYYY
Emergency Contact
Which Life Skills Course are you planning to attend? *
Required
What school do you attend?
What grade are you in?
Dietary restrictions *
I understand that I will have to pay $$ upon arrival *
Required
Submit
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