Grad Retreat 2017 Registration
Seymour Chalet - April 28-30
Cost: $100.00

Schedule:
Friday meet at Northview at 10:00am
Sunday return to Northview in the afternoon (between 3-4)

Student Full Name
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Gender
Address
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Student Phone Number
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Student Email
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Parent/Guardian Name
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Parent Phone Number
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Parent Email
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Emergency Contact Name (Not Parent)
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Emergency Contact Phone Number
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BC Medical/Care Card #
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Allergies?
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Dietary needs?
Payment Option
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