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* 1. Name

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* 2. Cell / Phone Number (where we can reach you during the wilderness weekend)

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* 3. Email address

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* 4. I plan to join the group for the following meals:

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* 5. I would like to register for the following outings / activities
Additional location and arrival details will be provided to registrants.

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* 6. I would like more information about

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* 7. You may contact me to help with (check any that apply)

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