Winter Remix Registration
Event Timing: February 21-23, 2020
Event Address: Pine Springs Camp, Jennerstown PA
Contact Mandi Pascarella at mandi.pascarella@fbcwaynesburg.org
Student Name *
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Student or Parent Email *
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Emergency Contact *
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Emergency Contact Phone Number *
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Dietary restrictions *
Any comments/ information you'd like a leader to know
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I understand that I will have to pay $30 to reserve my spot. I understand that my spot is NOT guaranteed until paid for. *
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