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 UNITED Weekend Registration Form

January 18-21, 2018

For all 7th - 12th Graders

COST: $50 (before Christmas / $75 (after Christmas) Scholarships are available - please talk to Pastor Jake

Student's Name *
Student's Name
Checkbox *
Grade *
Please select the grade your student is currently in at school
Phone *
Phone
T-Shirt Size *
Please choose how you will receive additional forms *

CLICK BELOW TO DOWNLOAD ADDITIONAL FORMS