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Jr. High Mission Week: June 19 - 21 2019
For youth entering 6th thru 9th grade in fall 2019
Name of Youth
Youth Cell #
Name of Parent/Guardian
Parent/Guardian Cell #
Does youth have current 2018/19 youth group registration form on file?
NOT SURE (please verify with Julie if you are not sure as youth must have form on file to participate)
Any changes in medical information since 2018/19 registration form was completed?
Drop off is June 19th @ 4pm. Are you able to arrive on time? If not, contact Julie as we may be off campus if you arrive late.
Pick up is June 21st @ 4pm. Who is authorized to pick youth up?
Is there any additional information that would be helpful to make this event as positive as possible for your youth?
How will you pay $50 registration fee?
By check (prior to event)
By check (at drop off the date of the event)
With youth (NASCAR) funds raised by youth or their family
Would like to request financial assistance
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