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Steubenville Conference Sign Up
June 17-19
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Name of Participant
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Grade (Fall 2022)
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9th
10th
11th
12th
Just Graduated
Age
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Parent Name (1)
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Parent Phone Number (Emergency Contact 1)
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Parent Name (2)
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Parent Phone Number (Emergency Contact 2)
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Family Email
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Participant Tshirt size
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XXL
Allergies?
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Other Medical Concerns
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