Iron Mountain Registration form
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Registration & Lodging Request
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Iron Mountain High School Key Club
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Please list primary DCON contact information below (indicate title - if it is not the primary Faculty Advisor)
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Advisor: Shelly Petrusch
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Advisor Phone: ( 906 ) 235-4569
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petruschs@imschools.org
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No
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Complete Columns B through H - maximum 6 students to a room number. 18 Room numbers provided for your convenience.
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Advisors / chaperones may share rooms with other school adults / Advisors may not share rooms with students
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Complete Column I - if sharing rooms with other schools - indicate the school name along with the appropriate room number
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FirstLastGender
S = Student
Club BoardSpecial Meal Rooming with another school?
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NameNameHome Email M F
A = Adult
Position (if appli)
Needs
(Please add rooming school name)
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Room 1
ShellyPetrusch
petruschs@imschools.org
FA = AdultAdvisor
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Room 2

Zachariah
Erickson
21ericksonz@imschools.org
MSN/a
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Jurgen Kleiman
21kleimanj@students.imschools.org
MSn/a
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Gabriel Celello
21celellog@students.imschools.org
MSEditor
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Alexander Rankin
20rankina@students.imschools.org
MSJunior Rep.
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Room 3
Erin Hanson
20hansone@students.imschools.org
FSPresident
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Meredith
Treiber
20treiberm@students.imschools.org
FS
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Riley Baumann
20baumannr@students.imschools.org
FS
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Anna Patterson
20pattersona@students.imschools.org
F
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Room 4
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Room 5
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Room 6
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Room 7
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Room 8
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Room 9
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Room 10
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Room 11
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Room 12
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Room 13
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Room 14
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Room 15
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