Confirmation Registration -

Confirmation Registration

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Name *

First

Last

Grade in School *

6th Grade 7th Grade 8th Grade

Address *

City, Zip *

Student Cell Phone *

Student's Email *

We will be tie-dying t-shirts at the Fall Festival/Rally Day, Sunday, Sept. 9th, please select size:

T-Shirt Size *

Parent's Name *

First

Last

Parent's Cell Phone *

Parent's Email *

Home Phone *

As we plan for this fall, we want you to know how you can help. Please check the following things you would consider: *

Comment *

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