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Mini Bike Trip on Tuesday, July 13, 2021 @ 7:00 AM

150.00
The cost of the trip is $150. If you are requesting scholarship assistance, do not complete this form at this time. Email your request to swiltz@4thpres.org, and you will be notified as to the amount of financial assistance that will be offered, along with registration instructions.
*Name of Youth (Last, First):
*Grade in Fall 2020:
*Name of Fall School:
Please list any Medical/allergy concerns:
Please list any medicines, including Epipens:
*Parental email:
*T-Shirt size: