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* 1. As the group leader, please provide the following information. 

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* 2. Please provide an emergency contact for the group (parent or guardian).

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* 3. Please list the people in your group (up to 5).
Note: Only the seniors listed below will be permitted in your assigned seating area. 

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* 4. If you would like be seated near another group, please list the request below.

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* 5. You must agree to the following in order to process your request to attend the event:

0 of 5 answered
 

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