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Registration Packet Student information Student Name:_______________________________________________________ __________ Parent/Guardian Name:_______________________________________________________ ___________ Age:_______ Gender_____ Parent Cell#__________________Student Cell # __________________ Email_______________________________________________ Grade/ Year__________________School________________________________

pbspeaks.files.wordpress.com · Web viewT-Shirt size (circle one) S M L XL XXL Author Brian Mandel Created Date 02/25/2014 11:06:00 Last modified by Brian Mandel Company Bethel World

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Registration PacketS t u d e n t i n f o r m a t i o n

Student Name:_________________________________________________________________

Parent/Guardian Name:__________________________________________________________________

Age:_______ Gender_____ Parent Cell#__________________Student Cell # __________________

Email_______________________________________________

Grade/Year__________________School___________________________________

T-Shirt size (circle one) S M L XL XXL