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Fix My Eyes On You Youth Rally
Please complete this form to sign up to as a fifth- or sixth-grade student to attend the Youth Rally on Sunday, Aug. 27 at St. Clare School. Doors open at 2:45 p.m. and the rally is from 3 to 5:30 p m.
Make sure you click the submit button at the end of the form.
Student's last name
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Student's first name
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Nickname for name tag (if different than first name)
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Street address
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City
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Zip code
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Parent's email address
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Parent's phone number
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Grade
Parish
Father's first and last name
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Mother's first and last name
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Medical considerations/food allergies
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Emergency contact name during event
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Emergency contact phone during event
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I hereby authorize my son/daughter to attend the Youth Rally and have his or her photograph taken for parish publications, websites and videos.
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