Youth Group

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* 1. Attendee's Name, Age, Phone Number, and Email

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* 2. Emergency Contact Person (Name, phone, and/or email)

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* 3. Emergency Contact Person (Name, phone, and/or email)

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* 4. If any, please list any supervision or behavioral needs we should be aware of...

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* 5. If any, please list any allergies (food, product, or other) we should be aware of...

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* 6. What date will you be attending? Please only list one. If you plan on attending more than one group, you will need to register for each date.

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