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City Christmas Lights
Registration & Parental Permission Form required to go
Pizza & Drink provided
30th December, 4 pm
Penn Station (travel by LIRR)
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Email
*
Your email
Unit Name
*
Flushing 1
Flushing 2
Flushing 3
Freeport
Jamaica 1
Jamaica 2
Little Neck
Lynbrook
Mineola
Name
*
Your answer
Adult or Youth
*
Adult
Youth
Best way to contact you?
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Email
Phone/Text
Mail
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Write contact # or address
*
Your answer
Food Allergies
*
Peanut
Gluten
Dairy
Other
No
Required
List "other"
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Parental Permission form filled out? (Get form from Bishop or Youth Leader and have parents/guardian fill it out and return it to your Bishop/Branch President)
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Yes
No
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