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2019 HSM Mission Trip Registration
Student's Last Name *
Your answer
Student's First Name *
Your answer
Grade in Level in Fall 2019 *
$100 Deposit Made *
LC3 Parent Permission Form Turned In *
Baja Bound Participation Form Turned In (online at https://bajabound.org/participation-form/) *
Parent E-mail Address *
Your answer
Parent/Guardian Name & Phone Number *
Your answer
Emergency Contact Name & Phone Number *
Your answer
Medications/Allergies/Medical/Etc *
Your answer
Notes or Questions
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