180 Weekend 2019
Student Name *
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T-Shirt Size (adult sizes) *
Age/Gender *
Student Cell Phone Number
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Parent/Guardian Emergency Contact Name and Number *
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Address
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If a guest of someone, who invited you?
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I understand that by filling out this form I am committing to attending and paying in full the amount of $35 for 180 Weekend. (You can pay in person by check or cash or online at firstchurchgastonia.com/give) *
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