Central Youth
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1. Central Youth Events

Please fill out as much information as you can. This will help in the planning of trips and events as well as give us an accurate head count.

Thanks

	MM		DD		YYYY
Today's Date	Please enter today's date. Today's Date Month	/	Day	/	Year

Please enter your age and grade. Age
Grade

Please select your shirt size. S

XXL

Please enter the name of the event. Event Name

Will you be attending this event? Yes

Maybe

Have you already filled out and turned in your parental consent and medical release form? Yes

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