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Student Registration
September 18-20, 2020
Cost: $15/student
Student's First Name:
*
Student's Last Name:
*
Student's Cell Number:
Student's Email:
*
Student's Grade:
*
7th
8th
9th
10th
11th
12th
Student's Gender:
*
Male
Female
Where do you attend Church?
*
Where did you hear about Catalyst Weekend?
*
Parent/Guardian's Name (First and Last)
*
Parent/Guardian's Phone Number:
*
Parent/Guardian's Email:
*
We believe every student should have the opportunity to attend Catalyst Weekend. We understand finances can be an issue. Would you like to talk to someone about financial assistance?
*
Yes
No
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