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Fall Retreat
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College Fall Retreat
Registration Form
Print this form off,
fill it out and return
it to thePOINT
with $50
($30 non refundable)
please print neatly
Name _______________________________________________ Male | Female (circle one)
Home Mailing Address _________________________________________________________
City _____________________________ State _______ Zip _____________________
Email Address _____________________________________________________________
Cell phone ________________________
Year in School: (Fall '10)
FR | SOPH | JUN | SEN | SEN again | still a SEN | no idea | I just need a job
T-shirt size: (circle one)
Michelle - they don't make an XS S M L XL XXL
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