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SR1 Alternative Spring Break 2019
Join us for an Alternative Spring Break weekend on Easter weekend! Why? To spend a weekend with your friends and live for the sake of others at the historical Morning Garden in Gloucester, Massachusetts!

When: Friday, April 19th at 5pm - Sunday, April 21st at 3pm
Where: Morning Garden, 190 Western Ave, Gloucester MA 01930
Registration Fee: $80

We only have space for 40 participants!
***If you are in need of financial assistance, please reach out to your Youth Pastors***

Name *
Your answer
Date of Birth *
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What year are you in? *
Participant E-mail *
Your answer
Parents Name *
Your answer
Parents Phone Number *
Your answer
Parents E-mail *
Your answer
Do you have any Dietary Restrictions/ Allergies? (if yes please list) *
Your answer
In Case of Emergency, who should we contact? (Name) *
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Emergency Contact Relationship to Participant *
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Emergency Contact (Phone Number) *
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What Community are you from? *
My participant understands not to bring matches, knives, illegal substances, etc *
I give permission to the staff on site to make Medical Decisions in the case of an emergency
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