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Registration Form: DLSSP Spring 2013

Email a completed copy of this form (1 per club) to ljcirclek@gmail.com

**REGISTRATION DUE: Saturday, March 16, 2013**

DLSSP is Friday March 22- Sunday March 24, 2013


Questions? Email Le Jean at the email address above All attendees will be required to sign a (1) code of conduct and (2) fill out a medical form NOTES: Special needs include dietary restrictions, physical limitations, etc. For non-Circle Kers, let me know if they are a Kiwanian, faculty advisor, guest, etc.

Club: ________________________________ , Estimated arrival time(s) on March 22: Person completing the application-- please fill out the following: Name: __________________________, Email: , Phone number:

CLICK BOX TO EDIT SPREADSHEET

Circle Ker@ ample.com ex Email A ddress 555-555-1234 Phone # Gender M/ F First DLSSP? Y/ N Vegetatrian Meals? Y/ N C ircle Ker? Y/ N M Y N Y None B oth Explain any special needs

Attending DLSSP, COTC, or Both?

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