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0 1 2 3 4 5 6 7 8 9 10	Register for Event $15.00 Each
	* Email * Parent First Name * Parent Last Name * Cell Phone * Are you a CRJ Member? Please chooseYesNo * How did you hear about our Youth Program? Please chooseEmailFrom a FriendWebsiteJLife MagazineFacebook, Instagram, Social Media * Community Member Youth Group Enrollment Please choose one:Enroll my child in youth group (one-time $30 payment)My child is already enrolled in youth group * How many children are registering for this program? Registering one childRegistering two childrenRegistering three children * Child 1 Last Name * Child 1 First Name Child 1 Allergies/Unique Needs: * Child 2 Last Name * Child 2 First Name Child 2 Allergies/Unique Needs: * Child 3 Last Name * Child 3 First Name Child 3 Allergies/Unique Needs:
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