State Ritual Team
**DEADLINE 1/31/2019**

Email address *
2019 Chairman - Ashley Tohlen & Diana Backman
Must be at least 14 years old and no have attained the age of 20 on the day of competition @ Supreme
First Name *
Your answer
Last Name *
Your answer
Bethel Number *
Your answer
Age on July 31, 2019 *
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Date of Birth (Including Year) *
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Daughter Email Address *
Your answer
Daughter Phone # *
Your answer
My parents & I understand that the expense associated with attending Supreme Session, including travel, registration, hotel & meals are our responsibility. We also understand that we need to make arrangements for our own chaperons.
Daughter *
Parent *
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