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Leadership Initiative Registration
Event Timing: July 28-July 30
Event Address: 3400 W. Hwy 22 Corsicana, TX 75110
Contact us at: 903-872-5696 or
Name *
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Email *
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Address *
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Parent's Cell *
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Fall 2017 Grade Level *
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Home Congregation (if any) *
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List All Food Alergies *
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Westhill church of Christ is allowed to post photos of the person registering on social media sites such as Facebook, Instagram, etc. *
I understand I must turn in a medical release form signed by my parent or guardian upon arrival
Any other relevant information:
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