Revolution 2019 Sign Up

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Revolution 2019 Sign Up

January 25-27th

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* Indicates required question

Student Name *

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Shirt Size *

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Payment Option (Student) *

1 Payment of $130

Half Now, Half After

I need partial Scholarship

I need Full Scholarship

Chaperone Name (limited spots)

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T-shirt Size

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S

M

L

XL

XXL

XXXL

Emergency Contact *

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Allergies (student/chaperone) *

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