Acolyte Leadership Retreat
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Parent Email
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Grade
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Tshirt Size (Please include Child or Adult)
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Emergency Contact Name and Phone Number
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Secondary Phone
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Student Text Number, if applicable and desired
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Medical Needs, including medication
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Physical Needs and Limitations.
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Dietary Needs
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I understand that I will be emailed a confirmation letter that includes legal waivers upon submission of this form. Signed waivers are due before the event begins, 6pm, Aug 4.
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