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Thank you for taking the time to register for the Exploring Our Lasallian Heritage Program.

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* 1. Your Full Name (this will appear on Certificates)

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* 2. School or Work:

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* 3. Job Title

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* 4. Phone Number:

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* 5. Your Email:

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* 6. Address:

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* 7. Dietary Requirements:

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* 8. Permission

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* 9. I would like to recieve information about future Formation for Mission Events

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