Student Fall Retreat Registration | Nebraska NYI

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NEBRASKA NYI

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STUDENT INFO

First name

Last name

Phone

Shirt Size

Date of Birth

Email

Home Church

Gender

Allergies / Medication / Medical Conditions

I want to play paintball

Extra $25 charge

PARENT/GUARDIAN INFO

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

You registered for Fall Retreat!Does it feel like you're awesome?Because you are. You're a genius.Keep being amazing,and we'll see you there!

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