180 Weekend 2019
T-Shirt Size (adult sizes)
Middle School Boy
Middle School Girl
High School Boy
High School Girl
Student Cell Phone Number
Parent/Guardian Emergency Contact Name and Number
If a guest of someone, who invited you?
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
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