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![Page 1: immanuelmtc.org€¦ · Web viewT-shirt Size. Youth: X-S SM M L. Adult: S M L XL. Parent/Guardian. Address. Home. Phone. Cell. Phone. E-Mail. Emergency. Contact. Name & Number](https://reader033.vdocuments.net/reader033/viewer/2022041501/5e21c54f82b32155d93fa8ad/html5/thumbnails/1.jpg)
REGISTRATION FORMDEEP SEA DISCOVERY
Grade Completed Age Date of Birth
Child’s Name
Allergies or Requests:
Emergency Contact Name & Number
Cell Phone Home Phone
Address
Parent/Guardian
T-shirt Size
Youth: X-S SM M L
Adult: S M L XL
Paid: ______