Individual Registration Session 1

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Individual Registration Session 1

Dates: Feb-1-3, 2019

If you have any questions please call (530) 389-8710 or email ally@campalta.org

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* Indicates required question

Email *

Your email

Name of Student *

Your answer

Name of Counselor

Your answer

Name of Church *

Your answer

Any Allergies? *

Your answer

Gender of Student *

Female

Male

Grade Level of Student *

6th

7th

8th

Shirt Size of Student *

XS

S

M

L

XL

XXL

Guardian Name *

Your answer

Guardian Phone Number *

Your answer

A copy of your responses will be emailed to the address you provided.

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