2017 MSLD Registration
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First Name: *
Last Name: *
Age: *
Gender: *
Type: *
Phone Number: *
Email: *
Church Affiliation: *
Allergies/Medical Information (enter N/A if no allergies) *
Parent/Guardian(s): *
What day will you be arriving? *
Overnight stay accommodations (for those arriving Saturday)
Boys will spending Saturday at the church building
Girls will be spending the night with a host family
Chaperones will spend the night with a host family unless they contact the church and request to stay with the teens in their group
If you have any questions/comments please enter them below and we'll contact you
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