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LEADER/INDIVIDUAL NAME

First Name

Last Name

NUMBER OF STUDENTS

Signing up individually is permissible if you are 18 years or older.

CELL PHONE #

(###)

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AGES: 13 - 25

(Highschool thru College)

We will be directly in touch with you regarding release forms for minors (ages 13 -17). With this being a SINGLE DAY gathering we are earnestly hoping to engage as many youth as possible.
Leaders are not required for students who are 18 - 25.