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Summer Gathering 2019
REGISTRATION FORM - THIS INFORMATION WILL NOT BE SHARED - FOR OFFICE USE ONLY

--NOTE: The "Submit" button must be pressed to insure Registration was completed and sent. You will receive a response when your registration is received..

--Registration fees: Contact Susan Rider at lfpchild@qwestoffice.net for checks and credit card payments

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Day and Date Submitted
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Last Name:
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First Name:
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Mail Address:
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List family members & minor ages only:
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