Professional Documents
Culture Documents
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Luke 18 Registration
Preferred Name: _______________________________ Phone: _________________________ School:
_______________________
Address: ______________________________________ City: __________________________ Zip:
_________________
Any allergies/special dietary needs:
___________________________________________________________________
Parent(s)/Guardian(s) Name(s):
______________________________________________________________________
Parent email: _____________________________________
Volunteer Task(s) that parent(s) have signed up for (from attached sheet):
___________________________________
T-shirt size: (circle) Small Medium Large X-large
A Release and Consent Form and a list of things to bring can be downloaded at
www.acyg.net/luke18.html. If you are unable to access these items, please call Jen Gagliano.
For more information, please call or email Jen Gagliano 636-332-1374, jgagli@centurytel.net.