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Registration, Transportation and Permission Waiver Form
Parent/Guardian— It is IMPORTANT that you read this permission waiver and complete the Medical History and Emergency Contact Information. Your child must present it before boarding the bus or other designated transportation and attending the retreat.
Email address *
Name of Student (Please print) *
Your answer
Address *
Your answer
Age of Student *
Your answer
Grade level entering *
Your answer
T-Shirt size *
School name *
Your answer
Affiliated church or group *
Your answer
Parent/Guardian name (please print) *
Your answer
Parent phone number *
Your answer
Parent/Guardian Email address *
Your answer
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